Medical school: JC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Graduated: 2003
NPI: 1972705069
Practice Locations (2)
ADMINISTRATORS OF THE TULANE EDUCATIONAL FUND
4200 HOUMA BLVD
METAIRIE, LA 700062970
5045034000
VIDANT MEDICAL GROUP LLC
9 MEDICAL DR
GREENVILLE, NC 278342805
2528169700
Source: CMS National Downloadable File, September 2026.