Organization
ALLIANCE HEALTHCARE SYSTEM INC
Active
Other names
WILLIAMS MEDICAL CLINIC OF POTTS CAMP
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH WILLIAMS MD (OWNER)
(662) 252-1599
Entity
Organization
Contact information
Practice address
39 SOUTH CENTER STREET, POTTS CAMP, MS 38659
(662) 333-6933
(662) 333-6931
Mailing address
39 CENTER STREET, POTTS CAMP, MS 38659
(662) 333-6933
(662) 333-6931
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09013973
—
MS
Enumeration date
01/25/2007
Last updated
03/30/2016
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