Graduated: 1994
Also: EMERGENCY MEDICINE, GENERAL PRACTICE
NPI: 1467478735
Practice Locations (2)
CENTERWELL SENIOR PRIMARY CARE SC JV PC
2738 DECKER BLVD, SUITE A
COLUMBIA, SC 292061735
8039690543
THREE RIVERS BEHAVIORAL HEALTH LLC
2900 SUNSET BLVD
WEST COLUMBIA, SC 291693422
8037969911
Source: CMS National Downloadable File, September 2026.