Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 1999
NPI: 1831160506
Practice Locations (1)
PRISMA HEALTH MEDICAL GROUP-MIDLANDS
14 RICHLAND MEDICAL PARK DR, SUITE 350
COLUMBIA, SC 292036896
8034341319
Source: CMS National Downloadable File, September 2026.