Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDWARD R WILLIS JR., MD
ActiveEDWARD R WILLIS JR., MD is a Otolaryngology healthcare provider located in BAY ST LOUIS, Mississippi. NPI 1497794259 is currently active in the NPPES registry. Verify at CMS.
Otolaryngology · BAY ST LOUIS, MS
Registration Details
- NPI Number
- 1497794259
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 6, 2006 (20.213515013037 yrs)
- Last Updated
- May 30, 2019
- Licenses
-
41094 (TN)10751 (MS)
Practice Information
- Address
-
100 DRINKWATER RDBAY ST LOUIS, MS, 395201614Browse MS providers · Browse ZIP 39520
- Phone
- 2284675121
- Primary Specialty
-
Otolaryngology
207Y00000X
- Additional Specialty
- Otolaryngology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.