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Organization

DR GARY A NELSON PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GARY A NELSON MD (POSITION)
(601) 924-7994
Entity
Organization

Contact information

Practice address
1001 HIGHWAY 80 E, CLINTON, MS 39056-5337
(601) 924-7994
(601) 924-7671
Mailing address
1001 HIGHWAY 80 E, CLINTON, MS 39056-5337
(601) 924-7994
(601) 924-7671

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
06011
MS

Other

Enumeration date
09/20/2008
Last updated
09/20/2008
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