Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated: 1975
NPI: 1720014939
Practice Locations (2)
6818A HWY 84
FERRIDAY, LA 713345101
3187577576
151 JEFFERSON DAVIS BLVD, SUITE C
NATCHEZ, MS 391205140
6014429802
Source: CMS National Downloadable File, September 2026.