Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 1997
Offers telehealth
NPI: 1437179967
Practice Locations (1)
CENTERWELL SENIOR PRIMARY CARE MS PC
4890 HWY 18 W, UNIT A
JACKSON, MS 392099666
6013015385
Source: CMS National Downloadable File, September 2026.