Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 1973
NPI: 1780635292
Practice Locations (2)
1601 N OAK ST
MYRTLE BEACH, SC 295773579
2513 N OAK ST, SUITE 209
MYRTLE BEACH, SC 295773250
8434482824
Source: CMS National Downloadable File, September 2026.