Medical school: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated: 1991
Offers telehealth
NPI: 1649290362
Practice Locations (2)
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
400 OTARRE PKWY
CAYCE, SC 290333751
8038984566
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
2715 COLONIAL DR, SUITE 100
COLUMBIA, SC 292036818
8038984800
Source: CMS National Downloadable File, September 2026.