Echols-Williams, Quenyatta

Echols-Williams, Quenyatta is an individual health care provider with primary practice located at 66 Old Airport Rd , Hattiesburg MS 39401-8382. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Echols-Williams, Quenyatta can be contacted via phone (601) 544-7500.

Contact Information

Primary practice address
66 Old Airport Rd Hattiesburg MS 39401-8382
Fax: (601) 544-7524
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 19209 Mississippi

Profile Details

NPI number 1255392841
LBN Legal business name Echols-Williams, Quenyatta
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Apr 1st, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255392841 NPPES
Mississippi MEDICAID 00255734
Mississippi Other 10982422
Mississippi Other P00718595

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