Joanetta Marie Williams
Prosthetist
806 S 28th Ave
Hattiesburg
, Mississippi 39402-2601
Joanetta Marie Williams
Prosthetist
806 S 28th Ave
Hattiesburg
, Mississippi 39402-2601
(662) 967-1741
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About
Features
Specialties
- Prosthetist
Languages spoken
- English
Location
First Address
- Joanetta Marie Williams
- Po Box 18956
- Hattiesburg, MS
- Zip : 39404-8956
- Phone : (662) 967-1741
Second Address
- Joanetta Marie Williams
- 806 S 28th Ave
- Hattiesburg, MS
- Zip : 39402-2601
- Phone : (601) 606-7652
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | 00-12147 | MS |
National Provider Identifier
| NPI | 1295203602 |
|---|---|
| Provider Name | Joanetta Marie Williams |
| First Address | Hattiesburg, MS 39404-8956 |
| Second Address | Hattiesburg, MS 39402-2601 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/11/2018 |
| Last Update Date | 05/11/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.