Graduated: 1997
NPI: 1457364606
Practice Locations (2)
EXPRESS CARE OF FULTON
204 INTERCHANGE DR
FULTON, MS 388436011
6628629040
NORTH MISSISSIPPI MEDICAL CLINICS INC
844 S MADISON ST, SUITE B
TUPELO, MS 388014904
6623775300
Source: CMS National Downloadable File, September 2026.