Graduated: 2002
Also: GENERAL PRACTICE
NPI: 1437100419
Practice Locations (2)
CONCORDIA PARISH HOSPITAL SERVICE DISTRICT NUMBER ONE
6569 HWY 84
FERRIDAY, LA 713344573
3187576551605
1154 LOGAN SEWELL DR
VIDALIA, LA 713733342
3183368166
Source: CMS National Downloadable File, September 2026.