Individual
MR. WILLIAM BRUCE GUY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
204 PEACHTREE ST, BRANDON, MS 39042-8121
(601) 500-0450
Mailing address
204 PEACHTREE ST, BRANDON, MS 39042-8121
(601) 500-0450
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R868902
MS
363LF0000X
Family Nurse Practitioner
Primary
R868902
MS
Other
Enumeration date
07/04/2012
Last updated
10/16/2013
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