Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 2003
NPI: 1871768788
Practice Locations (1)
PRISMA HEALTH UNIVERSITY MEDICAL GROUP
22725 HWY 76 E, SUITE A
CLINTON, SC 293257527
8648334545
Source: CMS National Downloadable File, September 2026.