Medical school: UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated: 2011
NPI: 1821382748
Practice Locations (2)
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
220 FAISON DR
COLUMBIA, SC 292033210
8038988415
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
250 DEWEY AVE
SPARTANBURG, SC 293033009
8648580366
Source: CMS National Downloadable File, September 2026.