Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1978
Also: CRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE
NPI: 1801867130
Practice Locations (1)
GREEN CLINIC LLC
1200 S FARMERVILLE ST
RUSTON, LA 712705941
3182553690
Source: CMS National Downloadable File, September 2026.