Graduated: 1997
NPI: 1851419394
Practice Locations (2)
PRISMA HEALTH UNIVERSITY MEDICAL GROUP
103 CARTER PARK DR
SENECA, SC 296781152
8644822360
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
16000 JOHNSON MEMORIAL DR
ABINGDON, VA 242117664
2762584050
Source: CMS National Downloadable File, September 2026.