| William Truly, MD | |
|
East Peace St, Canton, MS 39046-1069 | |
| (601) 829-0018 | |
| (601) 829-0944 |
| Full Name | William Truly |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | East Peace St, Canton, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780893602 | NPI | - | NPPES |
| 00019961 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 066123 (Mississippi) | Primary |
| Entity Name | Jefferson County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043204555 PECOS PAC ID: 5496657876 Enrollment ID: O20040227000452 |
| Entity Name | Claiborne County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710238324 PECOS PAC ID: 0244394385 Enrollment ID: O20100809000770 |
| Entity Name | Boa Vida Hospital Of Aberdeen Ms Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710405741 PECOS PAC ID: 0244505840 Enrollment ID: O20171128003460 |
| Entity Name | Independent Physicians Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790316214 PECOS PAC ID: 2466873054 Enrollment ID: O20200608001457 |
| Mailing Address | Practice Location Address |
|---|---|
| William Truly, MD Po Box 1069, Canton, MS 39046-1069 Ph: (601) 829-0018 | William Truly, MD East Peace St, Canton, MS 39046-1069 Ph: (601) 829-0018 |
Mr. Hess Hembree Iv, CO-PRESIDENT General Practice Medicare: Not Enrolled in Medicare Practice Location: 156 River Oaks Dr, Canton, MS 39046 Phone: 601-855-5287 |