Medical school: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1750612214
Practice Locations (3)
140 STONERIDGE DR, SUITE 210
COLUMBIA, SC 292108200
140 STONERIDGE DR, SUITE 210
COLUMBIA, SC 292108270
8034517600
1517 WHIPPOORWILL DR
West Columbia, SC 291694745
Source: CMS National Downloadable File, September 2026.