Graduated: 2005
NPI: 1760619654
Practice Locations (2)
PRISMA HEALTH MEDICAL GROUP-MIDLANDS
14 RICHLAND MEDICAL PARK DR, SUITE 320
COLUMBIA, SC 292036896
8034346771
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
2200 HARDEN ST
COLUMBIA, SC 292037107
Source: CMS National Downloadable File, September 2026.