Graduated: 2018
NPI: 1619483658
Practice Locations (2)
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
960 AVENT DR
GRENADA, MS 389015230
6622277000
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
2500 N STATE ST
JACKSON, MS 392164500
6018984404
Source: CMS National Downloadable File, September 2026.