Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1986
Offers telehealth
NPI: 1023121381
Practice Locations (2)
PIEDMONT MEDICAL CARE CORPORATION
1267 HWY 54 W, SUITE 5200
FAYETTEVILLE, GA 302142113
7707195601
LABORATORY FITNESS LLC
401 DIVIDEND DR, SUITE K
PEACHTREE CITY, GA 302691939
6785061236
Source: CMS National Downloadable File, September 2026.