Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1988
Offers telehealth
NPI: 1538135868
Practice Locations (2)
29301 N DIXIE RANCH RD
LACOMBE, LA 704455403
9858714114
12337 ASHLEY DR, SUITE F
GULFPORT, MS 395032753
9858714114
Source: CMS National Downloadable File, September 2026.