Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1988
Offers telehealth
NPI: 1982716437
Practice Locations (2)
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
524 DOCTORS CT
CHESTER, SC 297068644
8035818311
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
448 LAKESHORE PKWY, SUITE 110
ROCK HILL, SC 297304264
8033293177
Source: CMS National Downloadable File, September 2026.