Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated: 1982
NPI: 1780686352
Practice Locations (2)
19 SERGEANT PRENTISS DR
Natchez, MS 391204727
19 SGT PRENTISS DR
NATCHEZ, MS 391204727
6014428437
Source: CMS National Downloadable File, September 2026.