Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 1999
NPI: 1992777007
Practice Locations (1)
OAK STREET HEALTH PHYSICIANS GROUP OF SOUTH CAROLINA LLC
550 S CHURCH ST, SUITE 4
SPARTANBURG, SC 293063306
8647747001
Source: CMS National Downloadable File, September 2026.