Staci T Cownover, PA-C

NPI #1689695595 in Atoka, Tennessee

Provider Information

NPI Number: 1689695595
Entity Type: Individual
Name: Staci T Cownover, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 23, 2006
Last Updated: May 12, 2025

Practice Location

Address: 76 CAPITAL WAY STE C
City: Atoka
State: Tennessee
ZIP Code: 38004-6866
Phone: (901) 840-1202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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