Williams, Wendy E

Williams, Wendy E is an individual health care provider with primary practice located at 15190 Community Rd Suite 270, Gulfport MS 39503-3485. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Williams, Wendy E can be contacted via phone (228) 328-1401.

Contact Information

Primary practice address
15190 Community Rd Suite 270 Gulfport MS 39503-3485
Phone: (228) 328-1401
Fax: (228) 328-1440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 18570 Mississippi

Profile Details

NPI number 1467446963
LBN Legal business name Williams, Wendy E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Aug 25th, 2011 - about 15 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 1467446963 NPPES
Alabama MEDICAID 1285660688
Alabama MEDICAID 06184861

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