Individual
CASEY JAMES ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
747 OAKWOOD ST, JACKSON, MS 39202-1121
Mailing address
747 OAKWOOD ST, JACKSON, MS 39202-1121
(423) 298-4678
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/31/2018
Last updated
12/31/2018
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