Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 1978
Also: ORAL SURGERY
NPI: 1518944404
Practice Locations (1)
MIDLANDS ORAL AND MAXILLOFACIAL SURGERY
1755 SAINT JULIAN PL
COLUMBIA, SC 292042409
8032542972
Source: CMS National Downloadable File, September 2026.