Medical school: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated: 1998
NPI: 1043462476
Practice Locations (2)
MS STATE DEPARTMENT OF HEALTH
1850 CHERYL ST
CLARKSDALE, MS 386147219
6626248316
MS STATE DEPARTMENT OF HEALTH
570 E WOODROW WILSON AVE
JACKSON, MS 392164538
6015767345
Source: CMS National Downloadable File, September 2026.