Medical school: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2003
NPI: 1750423513
Practice Locations (3)
2482 POWELL RD
GEORGETOWN, SC 294408590
PO BOX, SUITE 608
MC CLELLANVILLE, SC 294580608
PO BOX, SUITE 608
MCCLELLANVILLE, SC 29458
Source: CMS National Downloadable File, September 2026.