Graduated: 2016
NPI: 1760908321
Practice Locations (3)
GRENADA PHYSICIAN SERVICES, LLC
960 AVENT DR
GRENADA, MS 389015230
6622277000
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
965 AVENT DR
GRENADA, MS 389015045
6622277444
MSK GROUP PC
6286 BRIARCREST AVE
MEMPHIS, TN 381204023
Source: CMS National Downloadable File, September 2026.