Medical school: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated: 2000
Offers telehealth
NPI: 1609821206
Practice Locations (1)
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
1050 RIBAUT RD
BEAUFORT, SC 299025400
8435248899
Source: CMS National Downloadable File, September 2026.