Organization
WILLIAM T WILLIAMS JR MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM T WILLIAMS JR MD (OWNER)
(601) 936-6001
Entity
Organization
Contact information
Practice address
1225 N STATE ST, JACKSON, MS 39202-2064
(601) 936-6001
(601) 936-4389
Mailing address
1225 N STATE ST, JACKSON, MS 39202-2064
(601) 936-6001
(601) 936-4389
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
18909
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18909
MS LICENSE
MS
Enumeration date
07/28/2009
Last updated
07/28/2009
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