Individual
WILLIAM D FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
161 RIVER OAKS DR STE RT1188, CANTON, MS 39046-5375
(601) 850-4235
(601) 850-4313
Mailing address
PO BOX 967, JACKSON, MS 39205-0967
(601) 850-4253
(601) 850-4313
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
10690
MS
207RP1001X
Pulmonary Disease Physician
Primary
10690
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122261
—
MS
Enumeration date
09/12/2006
Last updated
01/15/2019
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