Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated: 1993
Offers telehealth
NPI: 1922040195
Practice Locations (1)
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
2500 N STATE ST
JACKSON, MS 392164500
6018984404
Source: CMS National Downloadable File, September 2026.