Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1993
NPI: 1336246446
Practice Locations (1)
EAR,NOSE AND THROAT SURGICAL CLINIC OF SOUTH CENTRAL MS
203 S 12TH AVE
LAUREL, MS 394404324
6016499706
Source: CMS National Downloadable File, September 2026.