Medical school: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated: 1996
NPI: 1629045505
Practice Locations (4)
EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
1228 HARDEN ST
COLUMBIA, SC 292041800
EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
4605 MONTICELLO RD
COLUMBIA, SC 292034156
8037140266
EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
4605 MONTICELLO RD, BLDG C
COLUMBIA, SC 292034156
8033567102
EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
4605 MONTICELLO RD B
COLUMBIA, SC 292034156
8037140266
Source: CMS National Downloadable File, September 2026.