Graduated: 2004
NPI: 1578774402
Practice Locations (2)
INPHYNET PRIMARY CARE PHYSICIANS SOUTHEAST PC
2122 MANCHESTER EXPY
COLUMBUS, GA 319046878
7065964000
CROSS LAKE EMERGENCY GROUP, LLC
2600 GREENWOOD RD
SHREVEPORT, LA 711033908
3182124000
Source: CMS National Downloadable File, September 2026.