Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated: 1994
NPI: 1548223472
Practice Locations (2)
TIFT REGIONAL HEALTH SYSTEM INC
901 18TH ST E
TIFTON, GA 317943648
2293827120
PRESBYTERIAN HEALTHCARE SERVICES
1010 SPRUCE ST
ESPANOLA, NM 875322724
5053670360
Source: CMS National Downloadable File, September 2026.