Individual
WILLIAM HILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2406 CATALPA AVE, PASCAGOULA, MS 39567-1813
(228) 696-0818
(678) 553-8152
Mailing address
PO BOX 3488, DEPT 05-113, TUPELO, MS 38803-3488
(678) 553-8150
(678) 553-8152
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R609188
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00110677
—
MS
01
—
573519YV48
MEDICARE
MS
01
—
609188
STATE LICENSE
MS
Enumeration date
06/06/2007
Last updated
03/17/2018
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