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Individual

DR. WILLIAM MARK STANTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF GENERAL INTERNAL MED, JACKSON, MS 39216-4500
(601) 984-5660
Mailing address
1867 CRANE RIDGE DRIVE, SUITE 150-A, UNIVERSITY INTERNAL MEDICINE ASSOCIATES, LLP, JACKSON, MS 39216-4982
(601) 987-3988
(601) 987-4165

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10025
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02176573
MS
Enumeration date
07/20/2006
Last updated
07/08/2007
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