Individual
ELISE C BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
815 HIGHWAY 80 E, CLINTON, MS 39056-5252
(601) 910-3004
Mailing address
815 HIGHWAY 80 E, CLINTON, MS 39056-5252
(601) 941-8035
(601) 910-3005
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00543
MS
Other
Enumeration date
02/23/2021
Last updated
03/21/2024
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