Stephanie Keith, PA-C

NPI #1023555190 in Madison, Mississippi

Provider Information

NPI Number: 1023555190
Entity Type: Individual
Name: Stephanie Keith, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 26, 2017
Last Updated: Dec 9, 2019

Practice Location

Address: 2173 MAIN ST
City: Madison
State: Mississippi
ZIP Code: 39110-6309
Phone: (601) 605-3858

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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