Basic Information
| Provider Information | |||||||||
| NPI: | 1164470720 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BELL | ||||||||
| FirstName: | WILLIAM | ||||||||
| MiddleName: | J | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | P O BOX 1729 | ||||||||
| Address2: | |||||||||
| City: | HATTIESBURG | ||||||||
| State: | MS | ||||||||
| PostalCode: | 394031729 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6015458700 | ||||||||
| FaxNumber: | 6014502493 | ||||||||
| Practice Location | |||||||||
| Address1: | 100 HOSPITAL ST | ||||||||
| Address2: | |||||||||
| City: | BOONEVILLE | ||||||||
| State: | MS | ||||||||
| PostalCode: | 38829 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8002914020 | ||||||||
| FaxNumber: | 9194197247 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/05/2006 | ||||||||
| LastUpdateDate: | 06/26/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 15015 | MS | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207Q00000X | 15015 | MS | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.