Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1679657415
Practice Locations (2)
SELF MEDICAL GROUP
1325 SPRING ST
GREENWOOD, SC 296463860
8647254111
SELF REGIONAL HEALTHCARE
155 ACADEMY AVE
GREENWOOD, SC 296463869
8647254865
Source: CMS National Downloadable File, September 2026.