Individual
MICHAEL R. WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1850 CHADWICK DR, JACKSON, MS 39204-3404
(904) 805-1300
(904) 805-1302
Mailing address
PO BOX 588, CANTON, MS 39046-0588
(904) 805-1300
(904) 805-1302
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R754167
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08221076
—
MS
01
—
202011213A
BLUE CROSS
MS
01
—
582446825
CHAMPUS
MS
Enumeration date
06/16/2006
Last updated
08/03/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us