Individual
WILLIAM ETHAN BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
971 LAKELAND DR STE 1052, JACKSON, MS 39216-4609
(601) 981-9503
Mailing address
971 LAKELAND DR STE 1052, JACKSON, MS 39216-4609
(601) 601-9819
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
02/26/2025
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