Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1991
NPI: 1932140092
Practice Locations (2)
COASTAL CAROLINA PRIMARY CARE LLC
809 82ND PKWY
MYRTLE BEACH, SC 295724607
8432917182
COASTAL CAROLINA PRIMARY CARE LLC
920 DOUG WHITE DR, SUITE 250
MYRTLE BEACH, SC 295724181
8432361950
Source: CMS National Downloadable File, September 2026.