Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 2005
Also: PEDIATRIC MEDICINE
NPI: 1962664110
Practice Locations (2)
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
2500 N STATE ST
Jackson, MS 392164500
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
2500 N STATE ST
JACKSON, MS 392164500
6019846441
Source: CMS National Downloadable File, September 2026.