Provider Demographics
NPI:1811050594
Name:WILLIAMS, MHEJA M (MD)
Entity type:Individual
Prefix:
First Name:MHEJA
Middle Name:M
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2045 HIGHWAY 61 N
Mailing Address - Street 2:
Mailing Address - City:PORT GIBSON
Mailing Address - State:MS
Mailing Address - Zip Code:39150-4262
Mailing Address - Country:US
Mailing Address - Phone:601-437-3050
Mailing Address - Fax:601-437-3080
Practice Address - Street 1:2045 HIGHWAY 61 N
Practice Address - Street 2:
Practice Address - City:PORT GIBSON
Practice Address - State:MS
Practice Address - Zip Code:39150-4262
Practice Address - Country:US
Practice Address - Phone:601-437-3050
Practice Address - Fax:601-437-3080
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MS19578207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS05480550Medicaid
MS05480550Medicaid
MSI68359Medicare UPIN
MS05480550Medicaid