Medical school: EDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduated: 2018
NPI: 1760974661
Practice Locations (2)
SELF REGIONAL HEALTHCARE PARTNERS
155 RIDGE MEDICAL PLAZA RD
EDGEFIELD, SC 298244531
8036373146
SELF MEDICAL GROUP
160 ACADEMY AVE
GREENWOOD, SC 296463808
8642238090
Source: CMS National Downloadable File, September 2026.