Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 1993
Also: INTERNAL MEDICINE
Offers telehealth
NPI: 1386612844
Practice Locations (1)
TIDALHEALTH PHYSICIAN NETWORK, INC.
9111 ANTIQUE ALY, UNIT 1
BRIDGEVILLE, DE 199334682
3023379320
Source: CMS National Downloadable File, September 2026.