# DR GARY A NELSON PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427208958
- **Authorized official:** DR. GARY A NELSON MD (POSITION)
- **Authorized official phone:** (601) 924-7994

## Contact information

- **Practice address:** 1001 HIGHWAY 80 E, CLINTON, MS 39056-5337
- **Practice address phone:** (601) 924-7994
- **Practice address fax:** (601) 924-7671
- **Mailing address:** 1001 HIGHWAY 80 E, CLINTON, MS 39056-5337
- **Mailing address phone:** (601) 924-7994
- **Mailing address fax:** (601) 924-7671

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 06011 | MS | Yes |

## Other

- **Enumeration date:** 09/20/2008
- **Last updated:** 09/20/2008