Graduated: 2013
NPI: 1053753194
Practice Locations (2)
NORTH MISSISSIPPI PRIMARY HEALTH CARE INC
15921 BOUNDARY DR
ASHLAND, MS 386037740
6622248951
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
2500 N STATE ST
JACKSON, MS 392164500
6018154775
Source: CMS National Downloadable File, September 2026.