Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 2023
NPI: 1932896875
Practice Locations (2)
1112 TOBACCO ROW CT
ZEBULON, NC 275976253
PO BOX 415000 MSC, SUITE 8540
NASHVILLE, TN 37241
Source: CMS National Downloadable File, September 2026.