Graduated: 2011
NPI: 1821378894
Practice Locations (2)
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
960 AVENT DR
GRENADA, MS 389015230
6622277000
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
960 AVENT DR, SUITE 2
GRENADA, MS 389015230
6622277500
Source: CMS National Downloadable File, September 2026.