Graduated: 2016
NPI: 1487107744
Practice Locations (2)
GASTROENTEROLOGY CLINIC, A PROFESSIONAL MEDICAL CORPORATION
611 GRAMMONT ST
MONROE, LA 712017516
3183252634
WINN COMMUNITY HEALTH CENTER, INC.
1140 S VIENNA ST
RUSTON, LA 712705834
3182247190
Source: CMS National Downloadable File, September 2026.