Individual
LINDSIE KNOWLES STORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 W MAIN ST, TUPELO, MS 38804-3917
(888) 731-7611
Mailing address
201 W MAIN ST, TUPELO, MS 38804-3917
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/05/2019
Last updated
02/23/2024
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