Medical school: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated: 1984
Offers telehealth
NPI: 1508893074
Practice Locations (1)
NORTHEAST MENTAL HEALTH-MENTAL RETARDATION COMMISSION
499 GLOSTER CREEK VLG
TUPELO, MS 388014600
6628441717
Source: CMS National Downloadable File, September 2026.