Medical school: MERCER UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1194743849
Practice Locations (2)
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
7777 HENNESSY BLVD, SUITE 409
BATON ROUGE, LA 708084365
2257655864
HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH
6180 MAIN ST, SUITE A
ZACHARY, LA 707914069
2256584400
Source: CMS National Downloadable File, September 2026.