Individual
DR. OTHA EDWARD WILLIAMS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1736 LAKE TRACE DR, JACKSON, MS 39211-3353
(601) 624-4311
(601) 321-9519
Mailing address
1736 LAKE TRACE DR, JACKSON, MS 39211-3353
(601) 624-4311
(601) 321-9519
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
07230
MS
Other
Enumeration date
08/28/2008
Last updated
05/10/2026
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