Individual
ROGER ALLEN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
499 GLOSTER CREEK VLG STE A2, CARDIOLOGY ASSOCIATES OF NORTH MS, TUPELO, MS 38801-4749
(662) 620-6800
(662) 620-6920
Mailing address
499 GLOSTER CREEK VLG STE A2, CARDIOLOGY ASSOCIATES OF NORTH MS, TUPELO, MS 38801-4749
(662) 620-6800
(662) 620-6920
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
16269
MS
207RI0011X
Interventional Cardiology Physician
Primary
16269
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120454
—
MS
Enumeration date
08/30/2006
Last updated
06/28/2011
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