Graduated: 2023
NPI: 1639959778
Practice Locations (3)
IMPACT PHYSICIAN GROUP SOUTH CAROLINA LLC
2918 12TH ST EXT
CAYCE, SC 290333752
8032588240
IMPACT PHYSICIAN GROUP TEXAS PHYSIATRY SERVICES LLC
20 PINNACLE PKWY
ELGIN, SC 290458389
8034388890
IMPACT PHYSICIAN GROUP SOUTH CAROLINA LLC
20 PINNACLE PKWY
ELGIN, SC 290458389
2604078007
Source: CMS National Downloadable File, September 2026.