Medical school: EASTERN VIRGINIA MEDICAL SCHOOL
Graduated: 1992
Also: PLASTIC AND RECONSTRUCTIVE SURGERY
NPI: 1477521227
Practice Locations (1)
SUMTER EAR NOSE THROAT AND FACIAL PLASTIC SURGERY LLC
100 N SUMTER ST, SUITE 400
SUMTER, SC 291504916
8037785970
Source: CMS National Downloadable File, September 2026.