Graduated: 2021
NPI: 1992163588
Practice Locations (2)
ULTRA HEALTH LLC
1221 E UNION ST, MS CARE CENTER OF GREENVILLE
GREENVILLE, MS 387033243
7313941145
310 HWY 82 W, SUITE D
INDIANOLA, MS 387512150
6624452555
Source: CMS National Downloadable File, September 2026.