Graduated: 2022
NPI: 1013647247
Practice Locations (2)
PERIOPERATIVE SERVICES OF MISSISSIPPI, LLC
1225 N STATE ST, MS BAPTIST MEDICAL CENTER
JACKSON, MS 392022064
6013172802
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
2500 N STATE ST
JACKSON, MS 392164500
6018154775
Source: CMS National Downloadable File, September 2026.