Medical school: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated: 1989
NPI: 1588744957
Practice Locations (3)
16 OKATIE CTR BLVD S, SUITE 101
OKATIE, SC 299097533
16 OKATIE CTR BLVD S, SUITE 101
OKATIE, SC 299097535
8437058940
16 OKATIE CTR S BLVD, SUITE 101
OKATIE, SC 299097535
Source: CMS National Downloadable File, September 2026.