Medical school: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated: 1989
NPI: 1316909724
Practice Locations (2)
2525 HWY 1 S
GREENVILLE, MS 387018354
2525 HWY 1 S, SUITE A
GREENVILLE, MS 387018354
6623351103
Source: CMS National Downloadable File, September 2026.