Individual
DR. RALPH E. WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 12TH ST, RUSH MEDICAL GROUP INC., MERIDIAN, MS 39301-4158
(601) 703-9544
(601) 703-9936
Mailing address
1800 12TH ST, RUSH MEDICAL GROUP INC., MERIDIAN, MS 39301-4158
(601) 703-9544
(601) 703-9936
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
09813
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00014620
—
MS
01
—
009003200
ALABAMA MEDICAID
—
01
—
300021899
RAILROAD MEDICARE
—
01
—
73012112
BLUE CROSS OF AL
—
Enumeration date
09/22/2005
Last updated
08/16/2007
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