Graduated: 1976
NPI: 1124032677
Practice Locations (2)
CENTRAL MISSISSIPPI HEALTH SERVICES, INC
1134 WINTER ST
JACKSON, MS 392042841
60194855721607
CENTRAL MISSISSIPPI HEALTH SERVICES, INC
500 W COUNTY LINE RD
TOUGALOO, MS 391749700
6019576776
Source: CMS National Downloadable File, September 2026.