| NPI Details | |
|---|---|
| NPI | 1841297983 |
| Gender | Male |
| Enumeration Date | 07/05/2005 |
| Last Updated | 10/06/2009 |
| Entity Type | Individual |
| Active | Over 12 years ago |
| Practice Location | |
|---|---|
| 416 E PASS RD GULFPORT MS, 39507-3236, US |
|
| Phone | (228) 896-6505 |
| Fax | (228) 896-6509 |
| Business Location | |
|---|---|
| 416 E PASS RD GULFPORT MS, 39507-3236, US |
|
| Phone | (228) 896-6505 |
| Fax | (228) 896-6509 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 207RA0401X |
| License State | Mississippi |
| License Number | 08239 |
| Remove 1841297983 NPI Number | |
According to our database, William R Fellows MD NPI is 1841297983, taxonomy code is 207RA0401X and license number is 08239, license state is located at Mississippi. William R Fellows MD physically located at 416 E Pass Rd, Gulfport MS, 39507-3236. NPI Number William R Fellows MD has the Individual type.
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1841297983 NPI number is provided on an as is basis without warranty of any kind. 1841297983 is maintained by the National Plan & Provider Enumeration System. The contents of William R Fellows MD are for informational purposes only.
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