Graduated: 1999
Also: PHYSICAL MEDICINE AND REHABILITATION
NPI: 1780780031
Practice Locations (2)
1040 EDGEWATER CORPORATE PKWY
INDIAN LAND, SC 297074514
2021 BRIDGEMILL DR, SUITE 102
INDIAN LAND, SC 297079211
7046356071
Source: CMS National Downloadable File, September 2026.