Graduated: 1995
NPI: 1407064421
Practice Locations (2)
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL
171 ASHLEY AVE
CHARLESTON, SC 294258908
8437921414
UNIVERSITY MEDICAL ASSOCIATES OF THE MEDICAL UNIVERSITY OF SOUTH CAROL
707 BRASS LANTERN PL
BRENTWOOD, TN 370276212
8437921414
Source: CMS National Downloadable File, September 2026.