Graduated: 2010
NPI: 1043522352
Practice Locations (3)
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
960 AVENT DR
GRENADA, MS 389015230
6622277000
GRENADA PHYSICIAN SERVICES, LLC
960 AVENT DR
GRENADA, MS 389015230
6622277000
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
965 AVENT DR
GRENADA, MS 389015045
6622277444
Source: CMS National Downloadable File, September 2026.