Graduated: 2002
NPI: 1154598357
Practice Locations (2)
SOUTH CENTRAL CLINICS, INC
1203 AVE B
ELLISVILLE, MS 394372080
6014778553
SOUTH CENTRAL CLINICS, INC
1203 AVE B, SUITE 300
ELLISVILLE, MS 394372080
6014772226
Source: CMS National Downloadable File, September 2026.