Dr Otha Edward Williams Jr, MD - Surgery in Jackson, MS

Dr Otha Edward Williams Jr, MD is a Surgery physician based in Jackson, Mississippi. Dr Otha Edward Williams Jr is licensed to practice in Mississippi (license number 07230) and his current practice location is 1736 Lake Trace Dr, Jackson, Mississippi. He can be reached at his office (for appointments etc.) via phone at (601) 624-4311.

NPI number for Dr Otha Edward Williams Jr is 1619125952 and his current mailing address is 1736 Lake Trace Dr, Jackson, Mississippi. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619125952.

Contact Information

Dr Otha Edward Williams Jr, MD
1736 Lake Trace Dr,
Jackson, MS 39211-3353
(601) 624-4311
(601) 321-9519

Map and Direction




Physician's Profile

Full NameDr Otha Edward Williams Jr
GenderMale
SpecialitySurgery
Location1736 Lake Trace Dr, Jackson, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1619125952
  • Provider Enumeration Date: 08/28/2008
  • Last Update Date: 08/28/2008

Medical Identifiers

Medical identifiers for Dr Otha Edward Williams Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619125952NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 07230 (Mississippi)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Otha Edward Williams Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Otha Edward Williams Jr, MD
1736 Lake Trace Dr,
Jackson, MS 39211-3353

Ph: (601) 624-4311
Dr Otha Edward Williams Jr, MD
1736 Lake Trace Dr,
Jackson, MS 39211-3353

Ph: (601) 624-4311

Reviews and Comments


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