Graduated: 1994
Also: ADDICTION MEDICINE, GERIATRIC PSYCHIATRY
Offers telehealth
NPI: 1962428235
Practice Locations (2)
152 WACCAMAW MEDICAL PARK DR
CONWAY, SC 295268901
8434616133
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 295268903
8433475060
Source: CMS National Downloadable File, September 2026.