Medical school: TULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1995
NPI: 1770670747
Practice Locations (1)
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
205 PIEDMONT BLVD, SUITE 100
ROCK HILL, SC 297321836
8033272012
Source: CMS National Downloadable File, September 2026.