Medical school: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated: 2003
NPI: 1669466074
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.