Medical school: KANSAS CITY COLLEGE OF MEDICINE AND SURGERY
Graduated: 2003
NPI: 1992758775
Practice Locations (1)
PONTOTOC HEALTH SERVICES, INC.
345 HWY 15 N, PONTOTOC MEDICAL
PONTOTOC, MS 388633311
6624897430
Source: CMS National Downloadable File, September 2026.