Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 09851 | MS |
NPI | 1023045721 |
---|---|
Provider Name | William S Harris |
First Address | Vicksburg, MS 39183-8211 |
Second Address | Vicksburg, MS 39183-8211 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0013544 | (05) | MS |
B30853 | (02) | MS |