Medical school: COLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Graduated: 1996
Also: PHYSICAL MEDICINE AND REHABILITATION
NPI: 1669486692
Practice Locations (1)
HATTIESBURG CLINIC PA
415 S 28TH AVE
HATTIESBURG, MS 394017246
6012646000
Source: CMS National Downloadable File, September 2026.