Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1987
NPI: 1598731481
Practice Locations (1)
MAGNOLIA PROFESSIONAL BILLING
611 ALCORN DR, SUITE 210
CORINTH, MS 388349323
6622931000
Source: CMS National Downloadable File, September 2026.