Medical school: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated: 1990
NPI: 1972510287
Practice Locations (2)
QUAD INTERMED COMPANY LLC
1515 JEFFERSON ST
LAUREL, MS 394404244
6014254893
MISSISSIPPI STATE HOSPITAL AT WHITFIELD
3550 HWY 468 W
WHITFIELD, MS 391930157
6013518000
Source: CMS National Downloadable File, September 2026.