Individual
WILLIAM ANTHONY MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
2603 LOWER GAINSVILLE RD, NATTC SBT 22, SSC, MS 39529
(228) 813-4000
Mailing address
2603 LOWER GAINSVILLE RD, SBT 22, SSC, MS 39529
(228) 813-4000
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
06/29/2007
Last updated
08/31/2010
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