Medical school: EDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduated: 2021
NPI: 1750955670
Practice Locations (2)
WELLSTAR MEDICAL GROUP LLC
1120 15TH ST
AUGUSTA, GA 309120004
7067218623
PRISMA HEALTH MEDICAL GROUP-MIDLANDS
14 RICHLAND MEDICAL PARK DR, SUITE 350
COLUMBIA, SC 292036896
8034341663
Source: CMS National Downloadable File, September 2026.