Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 2009
NPI: 1447585815
Practice Locations (1)
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
448 LAKESHORE PKWY, SUITE 110
ROCK HILL, SC 297304264
8033293177
Source: CMS National Downloadable File, September 2026.