Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1990
NPI: 1013008242
Practice Locations (2)
ST. DOMINIC MEDICAL ASSOCIATES LLC
969 LAKELAND DR
JACKSON, MS 392164606
6012003100
ST. DOMINIC MEDICAL ASSOCIATES LLC
106 HIGHLAND WAY
MADISON, MS 391106933
Source: CMS National Downloadable File, September 2026.