Individual
EMILIE MCKENZIE STANSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6051 U S HIGHWAY 49, HATTIESBURG, MS 39401-7200
(601) 288-2690
Mailing address
PO BOX 15722, HATTIESBURG, MS 39404-5722
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00829
MS
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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