Graduated: 2016
NPI: 1376090571
Practice Locations (2)
SOUTHERN DERMATOLOGY MEDICAL LLC
4150 WASHINGTON RD, SUITE 6
EVANS, GA 308094722
SOUTHERN DERMATOLOGY MEDICAL LLC
3555 RICHLAND AVE W, SUITE 174
AIKEN, SC 298016410
8033350066
Source: CMS National Downloadable File, September 2026.