Individual
DR. JIMMY RICKY WINDHAM II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
29895
MS
207LP2900X
Pain Medicine (Anesthesiology) Physician
29895
MS
208VP0014X
Interventional Pain Medicine Physician
Primary
29895
MS
Other
Enumeration date
04/04/2017
Last updated
04/26/2022
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