Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2001
NPI: 1730122540
Practice Locations (2)
SELF MEDICAL GROUP
1325 SPRING ST
GREENWOOD, SC 296463860
8647254111
SELF MEDICAL GROUP
160 ACADEMY AVE
GREENWOOD, SC 296463808
8642238090
Source: CMS National Downloadable File, September 2026.