Medical school: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated: 1984
NPI: 1689697336
Practice Locations (2)
KINGS DAUGHTERS MEDICAL CENTER
427 HWY 51 N
BROOKHAVEN, MS 396012350
6018336011
1190 N STATE ST
JACKSON, MS 392022413
6019656100
Source: CMS National Downloadable File, September 2026.