Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 1980
NPI: 1467400671
Practice Locations (2)
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
200 MCGEE RD
ANDERSON, SC 296252104
8642243513
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
115 CARTER PARK DR
SENECA, SC 296781152
8648850157
Source: CMS National Downloadable File, September 2026.