A.Terrel Williams, Md, Pllc

LBN: A.Terrel Williams, Md, Pllc
A.Terrel Williams, Md, Pllc is an health care organization with primary practice located at 764 Lakeland Dr Ste 400, Jackson MS 39216. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. A.Terrel Williams, Md, Pllc can be contacted via phone (601) 981-1550, or through Williams, Albert Terrel via phone (601) 954-1152.

Contact Information

Primary practice address
764 Lakeland Dr Ste 400 Jackson MS 39216
Phone: (601) 981-1550
Fax: (601) 981-0804
Website:
Map and Directions
Authorized official contact:
Name: Williams, Albert Terrel Doctor of Medicine (MD)
Phone: (601) 954-1152

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 9205 Mississippi

Profile Details

NPI number 1386861649
LBN Legal business name A.Terrel Williams, Md, Pllc
DBA Doing business as
Authorized official Williams, Albert Terrel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386861649 NPPES
Mississippi MEDICAID 02825581

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