Medical school: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated: 2002
NPI: 1841409760
Practice Locations (2)
PRISMA HEALTH MEDICAL GROUP-MIDLANDS
11 RICHLAND MEDICAL PARK DR
COLUMBIA, SC 292036863
8034344506
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
220 FAISON DR
COLUMBIA, SC 292033210
8038988415
Source: CMS National Downloadable File, September 2026.