| 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 |
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 | |
Emilie Mckenzie Stansell, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6051 U S Highway 49, Hattiesburg, MS 39401 Phone: 601-288-2690 | |
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 |