| J. Todd Willis, Md Clinic | |
|
1003 Holland Avenue Suite 104 Philadelphia MS 39350-2180 | |
| (601) 656-0010 | |
| (601) 656-0313 |
| Full Name | J. Todd Willis, Md Clinic |
|---|---|
| Speciality | General Practice |
| Location | 1003 Holland Avenue, Philadelphia, Mississippi |
| Authorized Official Name and Position | Cheryl Leann Savell (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 6016631285 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Todd Willis, Md Clinic 1003 Holland Ave Suite 104 Philadelphia MS 39350-2180 Ph: (601) 656-0010 | J. Todd Willis, Md Clinic 1003 Holland Avenue Suite 104 Philadelphia MS 39350-2180 Ph: (601) 656-0010 |
| NPI Number | 1053788240 |
|---|---|
| Provider Enumeration Date | 08/24/2015 |
| Last Update Date | 08/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053788240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 12556 (Mississippi) | Primary |
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