Medical school: EASTERN VIRGINIA MEDICAL SCHOOL
Graduated: 1985
NPI: 1164525309
Practice Locations (2)
1400 E UNION ST
GREENVILLE, MS 387033246
1400 E UNION ST, DELTA REGIONAL MEDICAL CENTER PATHOLOGY DEP
GREENVILLE, MS 387033246
6633783783
Source: CMS National Downloadable File, September 2026.