Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEFFREY TODD WILLIS, MD
Active Sole ProprietorDR. JEFFREY TODD WILLIS, MD is a General Practice healthcare provider located in PHILADELPHIA, Mississippi. NPI 1639100340 is currently active in the NPPES registry. Verify at CMS.
General Practice · PHILADELPHIA, MS
Registration Details
- NPI Number
- 1639100340
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 5, 2006 (20.127992615698 yrs)
- Last Updated
- Nov 16, 2020
- License
-
12556 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1003 HOLLAND AVE STE 104PHILADELPHIA, MS, 393502180Browse MS providers · Browse ZIP 39350
- Phone
- 6016560010
- Fax
- 6016560313
- Primary Specialty
-
General Practice
208D00000X
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.