Individual
DR. WILLIAM WALTON BEAZLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1440 CENTRAL AVE E, WIGGINS, MS 39577-9602
(601) 928-6700
Mailing address
1440 CENTRAL AVE E, WIGGINS, MS 39577-9602
(601) 928-6700
(601) 928-6731
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO.14881R
LA
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
14984
MS
Other
Enumeration date
05/19/2006
Last updated
03/05/2020
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