specializing in family medicine in Ellisville, Mississippi

NPI: 1801226287

Provider Type

2

Practice Locations

Mailing Location

PO BOX 247

LAUREL, MS 39441

📞 6014257550

📠 6013996281

Practice Location

1203 AVENUE B

ELLISVILLE, MS 39437

📞 6014778553

📠 6014779158

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:11/20/2013
Last Updated:5/12/2015

Credentials

Primary Credential: