Williamson, Aubrey Duane

Williamson, Aubrey Duane is an individual health care provider with primary practice located at 1850 Chadwick Dr , Jackson MS 39204-3404. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Williamson, Aubrey Duane can be contacted via phone (601) 376-1848.

Contact Information

Primary practice address
1850 Chadwick Dr Jackson MS 39204-3404
Fax: (601) 376-1894
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 10800 Mississippi
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 10800 Mississippi

Profile Details

NPI number 1780777847
LBN Legal business name Williamson, Aubrey Duane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated May 9th, 2012 - about 13 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 1780777847 NPPES
Mississippi MEDICAID 00018567

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