Medical school: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated: 1998
NPI: 1982645016
Practice Locations (2)
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
124 MALLARD ST
Greenville, SC 296014046
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
124 MALLARD ST
GREENVILLE, SC 296014046
8642411040
Source: CMS National Downloadable File, September 2026.