Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated: 1996
NPI: 1194828301
Practice Locations (2)
1902 JOHNSON ST
JENNINGS, LA 705463628
3378249119
SWLHS LLC
1902 JOHNSON ST
JENNINGS, LA 705463628
3378249119
Source: CMS National Downloadable File, September 2026.