Medical school: SOUTHERN COLLEGE OF OPTOMETRY
Graduated: 1970
NPI: 1447300629
Practice Locations (3)
301 HOSPITAL RD
FULTON, MS 388436003
6628629741
301 HOSPITAL RD, PO BOX 519
FULTON, MS 388436003
PO BOX, SUITE 519
FULTON, MS 388430519
Source: CMS National Downloadable File, September 2026.