Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2000
NPI: 1093747776
Practice Locations (3)
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
2500 N STATE ST
Jackson, MS 392164500
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
2500 N STATE ST
JACKSON, MS 392164500
6019846441
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
326 COMMERCE CTR DR
RIDGELAND, MS 391571216
6018152005
Source: CMS National Downloadable File, September 2026.