Organization
WILLIAM R. FELLOWS, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM R FELLOWS M.D. (OWNER)
(228) 388-7770
Entity
Organization
Contact information
Practice address
180 DEBUYS RD, STE 130, BILOXI, MS 39531-4402
(228) 388-7770
Mailing address
180 DEBUYS RD, STE 130, BILOXI, MS 39531-4402
(228) 388-7770
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
08239
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03109765
—
MS
Enumeration date
06/11/2005
Last updated
09/10/2008
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