Individual
WILLIAM CHARLES HANIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N STATE ST, DEPARTMENT OF NEUROSURGERY, N703, JACKSON, MS 39216-4500
(601) 984-5715
Mailing address
2500 N STATE ST, DEPARTMENT OF NEUROSURGERY, N703, JACKSON, MS 39216-4500
(601) 984-5715
(601) 984-5733
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036045753
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01472371
—
MS
Enumeration date
03/28/2007
Last updated
11/26/2008
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