Individual
LESLIE ERIN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1202 MISSION PARK DR, VICKSBURG, MS 39180-3758
(601) 738-5549
Mailing address
1202 MISSION PARK DR, VICKSBURG, MS 39180-3758
(601) 738-5549
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00426
MS
Other
Enumeration date
05/14/2019
Last updated
12/18/2023
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