Individual
WILLIAM T JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
826 CLAYTON AVE, TUPELO, MS 38804-1918
(662) 207-5787
Mailing address
826 CLAYTON AVE, TUPELO, MS 38804-1918
(662) 207-5787
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
T-2281
MS
Other
Enumeration date
07/21/2009
Last updated
01/05/2010
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