Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 2023
NPI: 1457035958
Practice Locations (2)
SELF REGIONAL HEALTHCARE PARTNERS
300 RIDGE MEDICAL PLAZA RD
EDGEFIELD, SC 298244525
8036373174
SELF MEDICAL GROUP
1325 SPRING ST
GREENWOOD, SC 296463860
8647254111
Source: CMS National Downloadable File, September 2026.