Individual
DR. WILLIAM MANLEY WADSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2240 HIGHWAY 51 S, HERNANDO, MS 38632-1737
(662) 429-5231
(662) 429-4922
Mailing address
2240 HIGHWAY 51 S, HERNANDO, MS 38632-1737
(662) 429-5231
(662) 429-4922
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14009
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0116547
—
MS
Enumeration date
07/12/2006
Last updated
09/22/2016
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