MR. Stacy Wayne Dennis, PA-C

NPI #1902838162 in Natchez, Mississippi

Provider Information

NPI Number
1902838162
Entity Type
Individual
Name
MR. Stacy Wayne Dennis, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Jul 7, 2006
Last Updated
Apr 9, 2008

Practice Location

Address
46 SGT PRENTISS DR
Address 2
SUITE 103
ZIP Code
39120-4792
Phone
(601) 442-9654

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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