Graduated: 1982
NPI: 1063457554
Practice Locations (2)
CLINICS OF THE SOUTHEAST LLC
219 S BORDER DR
BOGALUSA, LA 704273671
9856331952
CLINICS OF THE SOUTHEAST LLC
405 AVE F
BOGALUSA, LA 704273633
9857321568
Source: CMS National Downloadable File, September 2026.