Medical school: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1997
NPI: 1346295565
Practice Locations (2)
2012 E SHILOH RD
CORINTH, MS 388343727
6622129001
6029 WALNUT GROVE RD, SUITE 101
MEMPHIS, TN 381202112
9017473900
Source: CMS National Downloadable File, September 2026.