Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 2005
NPI: 1578747390
Practice Locations (2)
HATTIESBURG CLINIC PA
415 S 28TH AVE, HATTIESBURG CLINIC DEPARTMENT OF NEPHROLOGY
HATTIESBURG, MS 394017246
6012646000
FGH PHYSICIAN BILLING
6051 U S HWY 49
HATTIESBURG, MS 394017200
6012882474
Source: CMS National Downloadable File, September 2026.