Individual
NATHAN A WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1515 JEFFERSON ST, LAUREL, MS 39440-4244
(601) 425-4893
(601) 428-8633
Mailing address
1515 JEFFERSON ST, LAUREL, MS 39440-4244
(601) 425-4893
(601) 428-8633
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
09662
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09552566
—
MS
Enumeration date
08/12/2006
Last updated
07/08/2007
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