Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 1996
Offers telehealth
NPI: 1912945841
Practice Locations (2)
SELF REGIONAL HEALTHCARE
22580 HWY 76 E, SUITE 100
LAURENS, SC 293608460
8648335986
SELF MEDICAL GROUP
298 COMMERCE DR
NEWBERRY, SC 291082953
8033213232
Source: CMS National Downloadable File, September 2026.