Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 2005
NPI: 1376762815
Practice Locations (1)
UNIVERSITY OF SOUTH ALABAMA HEALTH CARE AUTHORITY
75 S UNIVERSITY BLVD, SUITE 6000 A
MOBILE, AL 366083271
2516605787
Source: CMS National Downloadable File, September 2026.