Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1994
Offers telehealth
NPI: 1922098680
Practice Locations (2)
7142 WOODROW ST, SUITE B
IRMO, SC 290632832
7142 WOODROW ST B
IRMO, SC 290632832
8036020300
Source: CMS National Downloadable File, September 2026.