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William Anthony Adcock, AGACNP

Nurse Practitioner, Critical Care Medicine in Hattiesburg, MS. Individual provider (NPI-1).

NPI number1225894264
StatusActive
Last updated in NPPESFeb 27, 2024

Details

NPI
1225894264
Entity type
Individual (NPI-1)
Name
William Anthony Adcock
Credential
AGACNP
Sex
Male
Sole proprietor
No
Enumeration date
Feb 27, 2024
Certification date
Feb 27, 2024
Last updated
Feb 27, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LC0200X Nurse Practitioner, Critical Care Medicine905300MSYes

Practice location

415 S 28th Ave
Hattiesburg, MS 39401-7246

Phone 601-268-5650 · Fax 601-579-5212

Mailing address

415 S 28th Ave
Hattiesburg, MS 39401-7246

Phone 601-268-5650 · Fax 601-579-5212

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