Medical school: EDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduated: 2015
NPI: 1831578822
Practice Locations (1)
PRISMA HEALTH MEDICAL GROUP-MIDLANDS
1333 TAYLOR ST, SUITE 6F
COLUMBIA, SC 292012953
8032963273
Source: CMS National Downloadable File, September 2026.