Individual
CARLY STEGALL TUNBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1225 N STATE ST, JACKSON, MS 39202-2064
(601) 968-1000
Mailing address
485 VIEWPOINTE WAY, CLINTON, MS 39056-5962
(601) 720-7171
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00257
MS
363AS0400X
Surgical Physician Assistant
PA00257
MS
Other
Enumeration date
10/02/2015
Last updated
08/20/2024
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