Provider Demographics
NPI:1144088899
Name:WILLIAMS, CLARA ALEXIS HARBIN (MPAS, PA-C)
Entity type:Individual
Prefix:MRS
First Name:CLARA
Middle Name:ALEXIS HARBIN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MPAS, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 GRANT AVE
Mailing Address - Street 2:
Mailing Address - City:PASCAGOULA
Mailing Address - State:MS
Mailing Address - Zip Code:39567-7223
Mailing Address - Country:US
Mailing Address - Phone:228-218-0622
Mailing Address - Fax:
Practice Address - Street 1:5935 WASHINGTON AVE STE A
Practice Address - Street 2:
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39564-2680
Practice Address - Country:US
Practice Address - Phone:228-215-0669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSPA00792363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant