Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1969
Offers telehealth
NPI: 1871530444
Practice Locations (1)
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
1547 PKWY, SUITE 200
GREENWOOD, SC 296464081
8642238331
Source: CMS National Downloadable File, September 2026.