Nathan A Williamson, MD | |
1515 Jefferson St, Laurel, MS 39440-4244 | |
(601) 425-4893 | |
(601) 428-8633 |
Full Name | Nathan A Williamson |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1515 Jefferson St, Laurel, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679585673 | NPI | - | NPPES |
09552566 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 09662 (Mississippi) | Primary |
Entity Name | First Intermed Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669406658 PECOS PAC ID: 5294629895 Enrollment ID: O20040213000105 |
Mailing Address | Practice Location Address |
---|---|
Nathan A Williamson, MD 1515 Jefferson St, Laurel, MS 39440-4244 Ph: (601) 425-4893 | Nathan A Williamson, MD 1515 Jefferson St, Laurel, MS 39440-4244 Ph: (601) 425-4893 |
Carol Richardson, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 103 S 12th Ave, Laurel, MS 39440 Phone: 601-399-1970 | |
Dr. Charles Aaron Hollingshead, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4739 Fax: 601-399-6281 | |
Dr. Jonathan J Polhemus, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4507 Fax: 601-426-4228 | |
Dr. George R Bush, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 307 S 13th Avenue, Laurel, MS 39440 Phone: 601-649-7600 Fax: 601-649-7628 | |
Dr. Mona Genelle Pernia, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4000 Fax: 601-399-6281 | |
Callissa G Ladner, NP-C Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1706 W 12th St, Laurel, MS 39440 Phone: 601-369-2028 Fax: 601-649-7805 | |
Dr. Jaishri B Patel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 212 S 13th Ave, Laurel, MS 39440 Phone: 604-649-3821 Fax: 601-649-3827 |