Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 1989
NPI: 1629062955
Practice Locations (2)
SELF MEDICAL GROUP
298 COMMERCE DR
NEWBERRY, SC 291082953
8033213232
SELF REGIONAL HEALTHCARE
103 LITTLE MOUNTAIN RD
NINETY SIX, SC 296669252
8645433515
Source: CMS National Downloadable File, September 2026.