Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated: 1997
NPI: 1366406837
Practice Locations (1)
PRISMA HEALTH MEDICAL GROUP-MIDLANDS
2 MEDICAL PARK RD, LOWR LEVEL
COLUMBIA, SC 292036808
8034347121
Source: CMS National Downloadable File, September 2026.