Williams, Tracy Lee
Williams, Tracy Lee is an sole proprietor health care provider with primary practice located at 12 South 6Th Street , Bay Springs MS 39422. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Williams, Tracy Lee can be contacted via phone (601) 764-4111.Contact Information
Primary practice address
12 South 6Th Street
Bay Springs MS 39422
Phone: (601) 764-4111
Fax: (601) 764-3443
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 3469-08 | Mississippi |
Profile Details
| NPI number | 1174787915 |
|---|---|
| LBN Legal business name | Williams, Tracy Lee |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 10th, 2008 |
| Last updated | Aug 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174787915 | NPPES |
| Mississippi | MEDICAID | 0125741 |
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