The Clinic at Elm Lake, P.a.

NPI #1215193933 in Columbus, Mississippi

Provider Information

NPI Number
1215193933
Entity Type
Organization
Organization Name
The Clinic at Elm Lake, P.a.
Primary Specialty
Legal Medicine
Enumeration Date
Aug 1, 2008
Last Updated
Aug 1, 2008

Practice Location

Address
3700 N FRONTAGE RD
ZIP Code
39701
Phone
(662) 240-9999

Authorized Official

Name
MRS. ANNMARIE STOKES, M.D.
Title
MEDICAL DIRECTOR
Phone
(662) 240-9999

Specialties & Taxonomy Codes

Specialty
Legal Medicine

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