Medical school: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated: 1992
NPI: 1235279688
Practice Locations (2)
100 HOSPITAL ST, SUITE 100
BOONEVILLE, MS 388293354
6627201600
PO BOX, SUITE 70
BOONEVILLE, MS 38829
Source: CMS National Downloadable File, September 2026.