Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated: 1975
NPI: 1841344892
Practice Locations (2)
PO BOX, SUITE 892
ABERDEEN, MS 39730
898 LYNDEN BLVD
TUPELO, MS 388016316
6628424427
Source: CMS National Downloadable File, September 2026.