Medical school: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated: 1977
NPI: 1982604948
Practice Locations (2)
CITY OF JACKSON HEALTHCARE AUTHORITY
227 HOSPITAL DR
JACKSON, AL 365452423
2512464446
GHS JMC CLINICS LLC
227 HOSPITAL DR
JACKSON, AL 365452423
2512464446
Source: CMS National Downloadable File, September 2026.