Medical school: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated: 1993
NPI: 1376594101
Practice Locations (1)
OAK STREET HEALTH PHYSICIANS GROUP OF SOUTH CAROLINA LLC
550 S CHURCH ST, SUITE 4
SPARTANBURG, SC 293063306
8647747001
Source: CMS National Downloadable File, September 2026.