Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 1998
NPI: 1851482210
Practice Locations (1)
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
250 DEWEY AVE
SPARTANBURG, SC 293033009
8648580366
Source: CMS National Downloadable File, September 2026.