Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated: 1980
NPI: 1124071600
Practice Locations (2)
MARY BIRD PERKINS CANCER CENTER
67252 INDUSTRY LN
COVINGTON, LA 704338704
9858016216
FAIRWAY MEDICAL CENTER LLC
67252 INDUSTRY LN
COVINGTON, LA 704338704
9858099888
Source: CMS National Downloadable File, September 2026.