Medical school: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated: 2000
NPI: 1669420915
Practice Locations (1)
QUAD INTERMED COMPANY LLC
307 E FIFTEENTH ST, MMS MEDICAL CLINIC YAZOO CITY
YAZOO CITY, MS 391942631
6627468530
Source: CMS National Downloadable File, September 2026.