Medical school: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated: 2009
NPI: 1801125448
Practice Locations (2)
IMPACT NETWORK LLC
5130 MANCUSO LN
BATON ROUGE, LA 708093583
2254909600
LALLIE KEMP MEDICAL CTR
52579 HWY 51 S
INDEPENDENCE, LA 704432231
9858781349
Source: CMS National Downloadable File, September 2026.