Individual
JEB WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
499 S GLOSTER ST STE G1, TUPELO, MS 38801-5539
(662) 377-2663
Mailing address
499 S GLOSTER ST STE G1, TUPELO, MS 38801-5539
(662) 377-2663
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
27281
MS
207X00000X
Orthopaedic Surgery Physician
TRN21556
FL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
27281
MS
390200000X
Student in an Organized Health Care Education/Training Program
TRN21556
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/26/2015
Last updated
01/26/2023
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