Graduated: 2021
NPI: 1609546472
Practice Locations (3)
MEDICAL UNIVERSITY HOSPITAL AUTHORITY
148 SAULS ST
LAKE CITY, SC 295602677
8433743621
LOWER FLORENCE COUNTY HOSPTIAL
258 N RON MCNAIR BLVD
LAKE CITY, SC 295602462
MEDICAL UNIVERSITY HOSPITAL AUTHORITY
276 N RON MCNAIR BLVD
LAKE CITY, SC 295602462
8433945471
Source: CMS National Downloadable File, September 2026.