Individual
CHARLES H WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 LAKELAND SQUARE EXT., SUITE 800, FLOWOOD, MS 39232-7649
(601) 939-9811
(601) 939-7272
Mailing address
1000 LAKELAND SQUARE EXT., SUITE 800, FLOWOOD, MS 39232-7649
(601) 939-9811
(601) 939-7272
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
08447
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4627592
AETNA PROVIDER NUMBER
MS
Enumeration date
10/04/2006
Last updated
07/08/2007
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