Williams, Jeffrey C

Williams, Jeffrey C is an individual health care provider with primary practice located at 26 Deer Vly , Hattiesburg MS 39402-5502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Williams, Jeffrey C can be contacted via phone (601) 467-7336.

Contact Information

Primary practice address
26 Deer Vly Hattiesburg MS 39402-5502
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 13583 Mississippi

Profile Details

NPI number 1134239940
LBN Legal business name Williams, Jeffrey C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Feb 14th, 2022 - about 2 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 1134239940 NPPES
Mississippi MEDICAID 00122790
Mississippi Other 640507572RP
Mississippi Other 1787631
Mississippi MEDICAID 1589594

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