Medical school: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated: 2006
Offers telehealth
NPI: 1386774974
Practice Locations (1)
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
7901 FARROW RD
COLUMBIA, SC 292033220
8039355809
Source: CMS National Downloadable File, September 2026.