Graduated: 1991
Offers telehealth
NPI: 1326149253
Practice Locations (3)
1529 COLUMBIA AVE, MADISON PRIMARY CARE
PRENTISS, MS 394741373
6017923200
PO BOX, SUITE 1373
PRENTISS, MS 39474
PO BOX, SUITE 1373
PRENTISS, MS 394741373
Source: CMS National Downloadable File, September 2026.