Medical school: GEORGIA REGENTS UNIVERSITY COLLEGE OF DENTAL MEDICINE
Graduated: 2014
NPI: 1437480480
Practice Locations (4)
EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
4605 MONTICELLO RD
COLUMBIA, SC 292034156
8037140266
EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
4605 MONTICELLO RD, BLDG C
COLUMBIA, SC 292034156
8033567102
EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
4605 MONTICELLO RD B
COLUMBIA, SC 292034156
8037140266
EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
407 N BROWN ST
WEST COLUMBIA, SC 291695710
8039958936
Source: CMS National Downloadable File, September 2026.