Graduated: 2007
NPI: 1891973376
Practice Locations (2)
MEDICAL UNIVERSITY HOSPITAL AUTHORITY
171 ASHLEY AVE
CHARLESTON, SC 294258908
8437921414
PRISMA HEALTH UNIVERSITY MEDICAL GROUP
7 INDEPENDENCE PT, SUITE 300
GREENVILLE, SC 296154569
8645223700
Source: CMS National Downloadable File, September 2026.