Individual
ELIZABETH GRACE BRASWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 CAPITOL ST, CLINTON, MS 39056-4026
(601) 925-3000
Mailing address
200 CAPITOL ST, CLINTON, MS 39056-4026
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00875
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/29/2024
Last updated
03/17/2025
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