Medical school: UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated: 1989
Offers telehealth
NPI: 1578679452
Practice Locations (1)
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
2319 SAINT MATTHEWS RD
ORANGEBURG, SC 291182042
8035361571
Source: CMS National Downloadable File, September 2026.