Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1992
Offers telehealth
NPI: 1902998032
Practice Locations (1)
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
125 E ROBINSON ST
GAFFNEY, SC 293402444
8644872710
Source: CMS National Downloadable File, September 2026.