Individual
JAMIE OLSEN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15200 COMMUNITY RD, GULFPORT, MS 39503-3085
(228) 575-7120
Mailing address
1431 CENTERPOINT BLVD, SUITE 100, KNOXVILLE, TN 37932-1984
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1962
TN
363A00000X
Physician Assistant
Primary
MS00195
MS
Other
Enumeration date
04/20/2011
Last updated
06/09/2020
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