Graduated: 1999
NPI: 1730139775
Practice Locations (3)
GRENADA EMERGENCY GROUP, LLC
239 BOWLING GREEN RD
LEXINGTON, MS 390955167
6628341321
MEDICAL SERVICES OF MERIDIAN INC
2124 14TH ST
MERIDIAN, MS 393014040
6015536000
BEAR CREEK EMERGENCY GROUP LLC
2124 14TH ST
MERIDIAN, MS 393014040
6015536000
Source: CMS National Downloadable File, September 2026.