Individual
MRS. ASHLEY LADNER BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5935 WASHINGTON AVE, OCEAN SPRINGS, MS 39564-2679
(228) 671-6213
Mailing address
5935 WASHINGTON AVE, OCEAN SPRINGS, MS 39564-2679
(228) 215-0669
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00409
MS
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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