Individual
MRS. LEAH MARIA WILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5888
(601) 261-3587
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 264-6000
(601) 261-3587
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-06814
NC
363A00000X
Physician Assistant
002991
OH
363A00000X
Physician Assistant
7385
GA
363A00000X
Physician Assistant
Primary
PA00807
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639405749
—
NC
Enumeration date
10/23/2009
Last updated
09/10/2025
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