Jerry Lee Stork, PA | |
3688 Veterans Memorial Dr, 200, Hattiesburg, MS 39401-8246 | |
(601) 554-7402 | |
(601) 554-7488 |
Full Name | Jerry Lee Stork |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 3688 Veterans Memorial Dr, Hattiesburg, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467479550 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AM0700X | Physician Assistant - Medical | PA9103513 (Florida) | Secondary |
363A00000X | Physician Assistant | PA00079 (Mississippi) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jerry Lee Stork, PA 3688 Veterans Memorial Dr, 200, Hattiesburg, MS 39401-8246 Ph: (601) 554-7402 | Jerry Lee Stork, PA 3688 Veterans Memorial Dr, 200, Hattiesburg, MS 39401-8246 Ph: (601) 554-7402 |
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› Verified 2 days ago
Lauren Marie Worley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 6051 U S Highway 49, Hattiesburg, MS 39401 Phone: 601-288-7000 | |
Stacey Joyner, CSFA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 111 Comanche Dr, Hattiesburg, MS 39402 Phone: 601-604-2858 | |
Riley Phillips, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3688 Veterans Memorial Dr, Hattiesburg, MS 39401 Phone: 601-554-7400 Fax: 601-554-7499 | |
Clifton H Davis, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401 Phone: 601-554-7400 Fax: 601-554-7488 | |
Mr. Jimmie G Moore Jr., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401 Phone: 601-554-7400 Fax: 601-554-7488 | |
Micah Childs, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 Phone: 601-554-7400 | |
Marshall Bynum, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401 Phone: 601-554-7400 Fax: 601-554-7499 |