Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1996
NPI: 1720063894
Practice Locations (2)
WAKE FOREST UNIVERSITY HEALTH SCIENCES
601 N ELM ST
HIGH POINT, NC 272624331
3367162734
WAKE FOREST UNIVERSITY HEALTH SCIENCES
MEDICAL CTR BLVD
WINSTON SALEM, NC 271570001
3367162734
Source: CMS National Downloadable File, September 2026.