Graduated: 1981
NPI: 1528099413
Practice Locations (9)
VICKSBURG CLINIC LLC
1502 S COLORADO ST
GREENVILLE, MS 387037219
6018833305
VICKSBURG CLINIC LLC
54 SGT PRENTISS DR, SUITE 103
NATCHEZ, MS 391204726
6018835858
VICKSBURG CLINIC LLC
54 SERGEANT PRENTISS DR
NATCHEZ, MS 391204726
6018835858
NATCHEZ CLINIC COMPANY LLC
54 SERGEANT PRENTISS DR
NATCHEZ, MS 391204726
6014454616
NATCHEZ CLINIC COMPANY LLC
46 SEARGENT PRENTISS DR
NATCHEZ, MS 391204751
NATCHEZ CLINIC COMPANY LLC
46 SEARGENT PRENTISS DR, SUITE 100
NATCHEZ, MS 391204725
6014425388
VICKSBURG CLINIC LLC
46 SGT PRENTISS DR
NATCHEZ, MS 391204792
6018835858
VICKSBURG CLINIC LLC
2200 HWY 61 N
VICKSBURG, MS 391838246
VICKSBURG CLINIC LLC
2100 HWY 61 N
VICKSBURG, MS 391838211
6018835000
Source: CMS National Downloadable File, September 2026.