Graduated: 2001
NPI: 1649429119
Practice Locations (3)
TUNICA COUNTY HEALTHCARE AUTHORITY
PO BOX
TUNICA, MS 38676
TUNICA COUNTY HEALTHCARE AUTHORITY
PO BOX, SUITE 789
TUNICA, MS 38676
THE LITTLE CLINIC OF TENNESSEE LLC
3444 PLAZA AVE
MEMPHIS, TN 381114614
9017304204
Source: CMS National Downloadable File, September 2026.