Individual
LACEY HOPE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
204 W JACKSON ST STE B, RIDGELAND, MS 39157-2310
(601) 707-7278
Mailing address
204 W JACKSON ST STE B, RIDGELAND, MS 39157-2310
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MS
Other
Enumeration date
05/29/2019
Last updated
04/14/2023
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