Graduated: 2015
NPI: 1083072623
Practice Locations (2)
HOSPITAL SERVICE DISTRICT 2 OF THE PARISH OF TANGIPAHOA STATE OF LA
409 NW CENTRAL AVE
AMITE, LA 704222428
9857487171
INTERNAL MEDICINE CLINIC OF TANGIPAHOA, LLC
42388 PELICAN PROFESSIONAL PARK
HAMMOND, LA 704032412
9855426251
Source: CMS National Downloadable File, September 2026.