Individual
WILLIAM D WHITTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1040 GLUCKSTADT RD STE B, MADISON, MS 39110-7228
(601) 605-0452
(601) 605-0453
Mailing address
140 COLONY PL, MADISON, MS 39110-6638
(601) 918-2368
(601) 605-0453
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15902
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122387
—
MS
01
—
168390707
US DEPT OF LABOR
MS
01
—
753068151
MS PHYSCIANS CARE NETWORK
MS
01
—
753068151001
TRICARE
MS
01
—
7610132
AETNA
MS
01
—
P00169813
RR MEDICARE
MS
Enumeration date
03/16/2006
Last updated
03/08/2022
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