Medical school: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated: 1998
Offers telehealth
NPI: 1518069855
Practice Locations (1)
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
250 DEWEY AVE
SPARTANBURG, SC 293033009
8648580366
Source: CMS National Downloadable File, September 2026.