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1619125952
OTHA EDWARD WILLIAMS
JACKSON, MS
NPI
1619125952
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: MS 07230)
Enumeration Date
2008-08-28
Last Update Date
2008-08-28
Business Address
Dr. OTHA EDWARD WILLIAMS M.D.
1736 LAKE TRACE DR
JACKSON, MS 39211-3353
Phone number: 601-624-4311
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Mailing Address
Dr. OTHA EDWARD WILLIAMS M.D.
1736 LAKE TRACE DR
JACKSON, MS 39211-3353
Phone number: 601-624-4311
Copy
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