Individual
MR. NATHAN PAUL KERSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1174 SCREAMER RD, LYNNVILLE, TN 38472-8153
(619) 456-2290
Mailing address
1174 SCREAMER RD, LYNNVILLE, TN 38472-8153
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4833
GA
Other
Enumeration date
05/20/2007
Last updated
03/10/2016
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