Graduated: 2000
NPI: 1639666597
Practice Locations (4)
RADIOLOGICAL GROUP, PA
1225 N STATE ST, SUITE 2C RADIOLOGY DEPARTMENT
JACKSON, MS 392022073
6019681000
COMMUNITY CARE SERVICES LLC
MADISON, MS 39110
7759825000
COMMUNITY CARE SERVICES LLC
1155 MILL ST
RENO, NV 895021576
7759824000
UNIVERSITY OF UTAH ADULT SERVICES
50 N MEDICAL DR
SALT LAKE CITY, UT 841320100
8015856387
Source: CMS National Downloadable File, September 2026.