Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 1997
Offers telehealth
NPI: 1780757237
Practice Locations (1)
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
1324 COMMERCE DR
DILLON, SC 295360929
8437743351
Source: CMS National Downloadable File, September 2026.