Individual
ALEC HAYDEN PLUNKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
499 GLOSTER CREEK VLG STE G1, TUPELO, MS 38801-4751
(662) 377-2663
Mailing address
499 S GLOSTER ST # G1, TUPELO, MS 38801-5539
(662) 377-2663
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00816
MS
363A00000X
Physician Assistant
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Other
Enumeration date
07/25/2023
Last updated
09/10/2024
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