Individual
ELIZABETH GRACE BUFKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2374 JEFF DAVIS RD, VICKSBURG, MS 39180-9601
(601) 831-3543
Mailing address
2100 HIGHWAY 61 N, VICKSBURG, MS 39183-8211
(601) 883-6030
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00753
MS
Other
Enumeration date
03/11/2024
Last updated
01/27/2025
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