Individual
MRS. ELLIE REBECCA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1721 MEDICAL PARK DR STE 200, BILOXI, MS 39532-2105
(228) 392-7429
Mailing address
1688 PENNSYLVANIA PL, MOBILE, AL 36695-4302
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
937
MS
Other
Enumeration date
07/19/2024
Last updated
12/18/2025
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