Williams, Roger Allen

Williams, Roger Allen is an individual health care provider with primary practice located at 499 Gloster Creek Vlg Ste A2 Cardiology Associates Of North Ms, Tupelo MS 38801-4749. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Williams, Roger Allen can be contacted via phone (662) 620-6800.

Contact Information

Primary practice address
499 Gloster Creek Vlg Ste A2 Cardiology Associates Of North Ms Tupelo MS 38801-4749
Phone: (662) 620-6800
Fax: (662) 620-6920
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 16269 Mississippi
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 16269 Mississippi

Profile Details

NPI number 1568572709
LBN Legal business name Williams, Roger Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jun 28th, 2011 - about 14 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 1568572709 NPPES
Mississippi MEDICAID 00120454

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