Graduated: 2017
NPI: 1265961932
Practice Locations (2)
PINE RIDGE FAMILY CLINIC LLC
3248 HWY 49
COLLINS, MS 394283877
6018008580008580
SOUTH CENTRAL CLINICS, INC
1008 N 15TH ST, OB/GYN GROUP OF LAUREL
LAUREL, MS 394402656
6016495421
Source: CMS National Downloadable File, September 2026.