Individual
LATIAH SMITH MCWILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5005 OLD CANTON RD, JACKSON, MS 39211-5421
(601) 957-3333
Mailing address
5005 OLD CANTON RD, JACKSON, MS 39211-5421
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
905960
MS
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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