Medical school: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated: 2021
NPI: 1225770266
Practice Locations (2)
IMPACT NETWORK LLC
11414 LAKE SHERWOOD AVE N
BATON ROUGE, LA 708160406
IMPACT NETWORK LLC
5130 MANCUSO LN
BATON ROUGE, LA 708093583
2254909600
Source: CMS National Downloadable File, September 2026.