Medical school: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated: 1983
NPI: 1548250616
Practice Locations (2)
242 CREEKSTONE RDG
WOODSTOCK, GA 301883732
6784817519
603 B BRIARWOOD DR
MYRTLE BEACH, SC 295725769
6784817519
Source: CMS National Downloadable File, September 2026.