Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 2002
NPI: 1710961586
Practice Locations (1)
CAPITAL CITY MEDICAL GROUP, L.L.C.
7049 PERKINS RD
BATON ROUGE, LA 708084320
2259267200
Source: CMS National Downloadable File, September 2026.