Graduated: 2005
NPI: 1912326471
Practice Locations (4)
OSF MULTI-SPECIALTY GROUP
1505 EASTLAND DR, 320 CRTCA PLMNRY SLP MED
BLOOMINGTON, IL 617017912
3096612368
PRISMA HEALTH MEDICAL GROUP-MIDLANDS
2 MEDICAL PARK RD, SUITE 506
COLUMBIA, SC 292036876
8035401000
PRISMA HEALTH MEDICAL GROUP-MIDLANDS
115 N SUMTER ST, SUITE 400
SUMTER, SC 291504971
8039340810
PRISMA HEALTH MEDICAL GROUP-MIDLANDS
129 N WASHINGTON ST
SUMTER, SC 291504949
8037749680
Source: CMS National Downloadable File, September 2026.