Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 1998
NPI: 1962483016
Practice Locations (1)
MAGNOLIA COLLECTIVE HEALTH, LLC
181 BLUFFTON RD, SUITE G101 102
BLUFFTON, SC 299106221
8437575400
Source: CMS National Downloadable File, September 2026.