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Individual

WILLIAM KEITH HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7275 S SIWELL RD, JACKSON, MS 39272-9776
(601) 373-7722
(601) 373-7378
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
(901) 227-3255
(901) 227-8591

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14932
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00119606
MS
01
5706626
AETNA
MS
Enumeration date
03/09/2006
Last updated
03/12/2018
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