Medical school: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated: 1996
NPI: 1720029275
Practice Locations (2)
EAST CARROLL PARISH HOSPITAL
336 N HOOD ST
LAKE PROVIDENCE, LA 712542140
3185594023
OAKDALE ESS LLC
900 JOHNSON ST
TALLULAH, LA 712824537
3185742374
Source: CMS National Downloadable File, September 2026.