Medical school: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated: 1977
Offers telehealth
NPI: 1558335281
Practice Locations (2)
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
400 OTARRE PKWY
CAYCE, SC 290333751
8038984566
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
2715 COLONIAL DR
COLUMBIA, SC 292036818
8038980123
Source: CMS National Downloadable File, September 2026.