Individual
MR. STACY WAYNE DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
46 SGT PRENTISS DR, SUITE 103, NATCHEZ, MS 39120-4792
(601) 442-9654
(601) 442-9790
Mailing address
46 SGT PRENTISS DR, SUITE 103, NATCHEZ, MS 39120-4792
(601) 442-9654
(601) 442-9790
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA040
MS
Other
Enumeration date
07/07/2006
Last updated
04/09/2008
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