Individual
DR. WILLIAM JORDAN WINDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1207 HIGHWAY 182 W STE B, STARKVILLE, MS 39759-9013
(662) 324-1097
(662) 324-2412
Mailing address
1207 HIGHWAY 182 W STE B, STARKVILLE, MS 39759-9013
(662) 324-1097
(662) 324-2412
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
25799
MS
208800000X
Urology Physician
T-2733
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03273011
—
MS
Enumeration date
06/29/2013
Last updated
10/12/2020
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