Medical school: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1978
NPI: 1063521607
Practice Locations (1)
HATTIESBURG CLINIC PA
415 S 28TH AVE
HATTIESBURG, MS 394017246
6012646000
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Medical school: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1978
NPI: 1063521607
HATTIESBURG CLINIC PA
415 S 28TH AVE
HATTIESBURG, MS 394017246
6012646000
Source: CMS National Downloadable File, September 2026.