Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 1995
NPI: 1508876434
Practice Locations (1)
PRISMA HEALTH MEDICAL GROUP-MIDLANDS
14 RICHLAND MEDICAL PARK DR, SUITE 200
COLUMBIA, SC 292036882
8032967846
Source: CMS National Downloadable File, September 2026.