Graduated: 2012
NPI: 1881034254
Practice Locations (2)
GRENADA PHYSICIAN SERVICES, LLC
960 AVENT DR
GRENADA, MS 389015230
6622277000
CENTERWELL SENIOR PRIMARY CARE MS PC
1220 E NORTHSIDE DR, SUITE 220
JACKSON, MS 392115503
6012984173
Source: CMS National Downloadable File, September 2026.