Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1991
Also: CARDIOVASCULAR DISEASE (CARDIOLOGY)
NPI: 1639288293
Practice Locations (1)
CENTENNIAL HEART LLC
111 HWY 70 E, SUITE G
DICKSON, TN 370552080
6155151900
Source: CMS National Downloadable File, September 2026.