Individual
WILLIAM MADISON ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
103 MEDICAL PARK FL 2, HATTIESBURG, MS 39401-9042
(601) 268-5630
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5630
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
31958
MS
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
31958
MS
Other
Enumeration date
04/22/2019
Last updated
08/29/2023
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