Individual
CAITLIN MAREE DEFAZIO WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
11145 HIGHWAY 6 W, THAXTON, MS 38871-9024
(662) 489-8500
Mailing address
128 CALLOWAY LOOP, PONTOTOC, MS 38863-6102
(662) 317-9783
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903099
MS
Other
Enumeration date
01/08/2019
Last updated
04/15/2020
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