Medical school: UNIVERSITY OF TENNESSEE HSC COLLEGE OF DENTISTRY
Graduated: 2017
NPI: 1164953188
Practice Locations (2)
ORAL AND MAXILLOFACIAL SURGERY CLINIC OF SOUTH MISSSISSIPPI, P.A.
1421 S 28TH AVE
HATTIESBURG, MS 394023108
6012647611
ORAL AND MAXILLOFACIAL SURGERY CLINIC OF SOUTH MISSSISSIPPI, P.A.
1421 S 28TH AVENE
HATTIESBURG, MS 394023108
Source: CMS National Downloadable File, September 2026.