Organization
NESHOBA COUNTY GENERAL HOSPITAL
Active
Other names
Todd Willis Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE GRAEBER (CEO)
(601) 663-1360
Entity
Organization
Contact information
Practice address
1001 HOLLAND AVE, SUITE 4, PHILADELPHIA, MS 39350-2161
(601) 656-0010
Mailing address
1001 HOLLAND AVE, PO BOX 976, PHILADELPHIA, MS 39350-2161
(601) 656-0010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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