Individual
WILLIAM NEEDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NNP-BC
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-7100
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-7100
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
902873
MS
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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