Provider Demographics
NPI:1841341369
Name:HORSLEY, WILLIAM STEWART (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:STEWART
Last Name:HORSLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:438 SAINT ANDREWS DR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39211-2523
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:255 BAPTIST BLVD STE 401
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:MS
Practice Address - Zip Code:39705-2006
Practice Address - Country:US
Practice Address - Phone:662-244-2288
Practice Address - Fax:662-244-2289
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS15937208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS0121377Medicaid
MS$$$$$$$$$AOtherBCBS
MS0121377Medicaid
753068151OtherUHC
753068151OtherMHP
753068151017OtherTRICARE
MS780000015Medicare ID - Type Unspecified