Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1992
NPI: 1811947419
Practice Locations (1)
PRISMA HEALTH UNIVERSITY MEDICAL GROUP
105 DOCTORS DR
GREENVILLE, SC 296055608
8647977150
Source: CMS National Downloadable File, September 2026.