Individual
DR. BRENDAN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7601 SOUTHCREST PKWY, SOUTHAVEN, MS 38671-4739
(662) 772-2980
(662) 772-2960
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26703
MS
207R00000X
Internal Medicine Physician
3718
TN
207R00000X
Internal Medicine Physician
E-13921
AR
207R00000X
Internal Medicine Physician
OS15264
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024944600
—
FL
Enumeration date
05/29/2015
Last updated
03/12/2021
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