Johnnie Warren Williamson, MD
Surgery in Tupelo, MS. Individual provider (NPI-1).
NPI number1346211596
StatusActive
Last updated in NPPESJun 27, 2012
Details
- NPI
- 1346211596
- Entity type
- Individual (NPI-1)
- Name
- Johnnie Warren Williamson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 27, 2006
- Last updated
- Jun 27, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 07074 | MS | Yes |
Practice location
4381 S Eason BlvdSuite 202
Tupelo, MS 38801-6583
Phone 662-377-6470 · Fax 662-377-6475
Mailing address
454 E President AveTupelo, MS 38801-5501
Phone 662-377-4685 · Fax 662-377-2755
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All 15 Surgery Physician providers in Tupelo · All 2,880 providers in Tupelo
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