Graduated: 1996
NPI: 1699723106
Practice Locations (2)
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
817 BROWN ST
BISHOPVILLE, SC 290101178
8034849414
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
801 N PIKE W
SUMTER, SC 291531906
8037759364
Source: CMS National Downloadable File, September 2026.