Medical school: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated: 2014
Offers telehealth
NPI: 1407194129
Practice Locations (1)
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
2100 CHARLIE HALL BLVD
CHARLESTON, SC 294145832
8438524100
Source: CMS National Downloadable File, September 2026.