Graduated: 1995
NPI: 1568446326
Practice Locations (2)
COASTAL WELLNESS CENTER LLC
4955 HWY 17 BYP S
MYRTLE BEACH, SC 295776684
8884032444
MEDCARE EXPRESS - NORTH CHARLESTON LLC
8740 RIVERS AVE
NORTH CHARLESTON, SC 294069211
8433772406
Source: CMS National Downloadable File, September 2026.