Medical school: UNIVERSITY OF MISSISSIPPI MEDICAL CENTER SCHOOL OF DENTISTRY
Graduated: 1961
NPI: 1417045386
Practice Locations (1)
ORAL AND MAXILLOFACIAL SURGERY CLINIC OF SOUTH MISSSISSIPPI, P.A.
1421 S 28TH AVE
HATTIESBURG, MS 394023108
6012647611
Source: CMS National Downloadable File, September 2026.