William D Henceroth II MD

NPI 1518952613 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1518952613
Gender Male
Enumeration Date 09/14/2005
Last Updated 10/24/2011
Entity Type Individual
Active Over 12 years ago
Practice Location
GREENVILLE MS, 38703-7211, US
Phone (662) 332-8700
Fax (662) 332-3005
Business Location
PO BOX 4739
GREENVILLE MS, 38704-4739, US
Phone (662) 725-2749
Fax (662) 725-2741
Taxonomy Code 207X00000X
License State Virginia
License Number 0101025812
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According to our database, Dr. William D Henceroth II MD NPI is 1518952613, taxonomy code is 207X00000X and license number is 0101025812, license state is located at Virginia. William D Henceroth II MD physically located at 1693 S Colorado St, Greenville MS, 38703-7211. NPI Number William D Henceroth II MD has the Individual type.

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1518952613 NPI number is provided on an as is basis without warranty of any kind. 1518952613 is maintained by the National Plan & Provider Enumeration System. The contents of William D Henceroth II MD are for informational purposes only.