Graduated: 1992
NPI: 1508867474
Practice Locations (2)
WELLSPAN MEDICAL GROUP
35 MONUMENT RD, SUITE 206
YORK, PA 174035074
7177418011
PRISMA HEALTH MEDICAL GROUP-MIDLANDS
1301 TAYLOR ST, SUITE 1A
COLUMBIA, SC 292012946
8034344790
Source: CMS National Downloadable File, September 2026.