Medical school: WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated: 2010
NPI: 1538466206
Practice Locations (2)
IES SOUTH CAROLINA LLC
1304 W BOBO NEWSOM HWY
HARTSVILLE, SC 295504710
4693401366
MUSC COMMUNITY PHYSICIANS
3000 SAINT MATTHEWS RD
ORANGEBURG, SC 291181442
8033953400
Source: CMS National Downloadable File, September 2026.