Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 16525 | MS |
Y | 208600000X | Surgeon | 16525 | MS |
NPI | 1013005040 |
---|---|
Provider Name | Dr. William Duncan Donald III |
First Address | Hattiesburg, MS 39404-6389 |
Second Address | Hattiesburg, MS 39401-7200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 10/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02232066 | (05) | MS |
H79124 | (02) | MS |