Graduated: 1989
NPI: 1760469084
Practice Locations (3)
SELF MEDICAL GROUP
1325 SPRING ST
GREENWOOD, SC 296463860
8647254398
TUSCULUM PHYSICIAN SERVICES PC
1420 TUSCULUM BLVD
GREENEVILLE, TN 377454279
4237875000
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
1420 TUSCULUM BLVD
GREENEVILLE, TN 377454279
4237875537
Source: CMS National Downloadable File, September 2026.