Medical school: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated: 2006
Offers telehealth
NPI: 1750470019
Practice Locations (1)
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
400 OTARRE PKWY
CAYCE, SC 290333751
8038984566
Source: CMS National Downloadable File, September 2026.