Individual provider · Type 1 NPI
Jeffrey Todd Willis, MD
General Practice Physician · Philadelphia, MS
NPI number
1639100340
Active
Practice location
1003 Holland Ave Ste 104
Philadelphia, MS 39350-2180
Fax (601) 656-0313
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 12556 (MS) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1639100340
Jeffrey Todd Willis, MD's National Provider Identifier is 1639100340, issued on Jul 5, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Philadelphia, MS. The record was last updated on Nov 16, 2020.