Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1985
NPI: 1447211206
Practice Locations (2)
PREMIER MEDICAL OF SC LLC
354 FOLLY RD, SUITE 5
CHARLESTON, SC 294122594
8432252374
PREMIER MEDICAL OF SC LLC
5880 RIVERS AVE
NORTH CHARLESTON, SC 294066053
8432252374
Source: CMS National Downloadable File, September 2026.