Individual
WILLIAM RYAN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1113
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
T-5143
MS
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MS
Other
Enumeration date
03/27/2023
Last updated
07/14/2023
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