Medical school: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated: 1994
Offers telehealth
NPI: 1932100377
Practice Locations (2)
1304 AZALEA CT, SUITE C
MYRTLE BEACH, SC 295775723
8439974022
1304 AZALEA CT C
MYRTLE BEACH, SC 295775723
Source: CMS National Downloadable File, September 2026.