Individual
LARRY DAILY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2100 HIGHWAY 61 N, VICKSBURG, MS 39183-8211
(601) 883-5000
Mailing address
2100 HIGHWAY 61 N, VICKSBURG, MS 39183-8211
(601) 883-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA034
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00500735
—
MS
Enumeration date
06/30/2006
Last updated
07/08/2007
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