Alphonso Willis in Hattiesburg - Hematology & Oncology
Alphonso Willis - NPI 1932219649
Alphonso Willis is a Hematology & Oncology in Hattiesburg, Mississippi. Alphonso Willis practices all healthcare services and medical treatments related to Hematology & Oncology. The NPI Number for Alphonso Willis is 1932219649. The last update date is 2015-02-02.
Alphonso Willis's current location address is 415 S 28th Ave, Hattiesburg, Mississippi. You can contact this provider via phone number 6015795463 and fax number 6015795240. The mailing address for Alphonso Willis is 415 S 28th Ave, Hattiesburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alphonso Willis |
|---|---|
| Address | 415 S 28th Ave, Hattiesburg, Mississippi |
| Phone Number | 6015795463 |
| Fax Number | 6015795240 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1932219649 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2015-02-02 |
Provider Mailing Address Detail
| Address | 415 S 28th Ave |
|---|---|
| City | Hattiesburg |
| State | Mississippi (MS) |
| Post Code | 394017246 |
| Phone Number | 6015795463 |
| Fax Number | 6015795240 |
Provider's Primary Taxonomy Detail
| Speciality | Hematology & Oncology |
|---|---|
| Taxonomy | 207Rh0003X |
| Licence No | 15624 |
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Definition: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to ob |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 830003891 | MS | RAILROAD MEDICARE | |
| 64050757294 | MS | AMERICAN ADMIN GROUP | |
| 118538 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Alphonso Willis by the Centers for Medicare & Medicaid Services?
The Alphonso Willis has been issued the NPI (National Provider Identifier) 1932219649 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Alphonso Willis?
The Alphonso Willis is situated at 415 S 28Th Ave, in the city of Hattiesburg, state of MS, with the zip code 394017246.
What is Alphonso Willis's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Alphonso Willis is Hematology & Oncology, and the taxonomy code that classifies this field of practice is 207Rh0003X.
On what date did the Alphonso Willis receive the assignment of its 1932219649 from the Centers for Medicare & Medicaid Services?
The Alphonso Willis was issued its 1932219649 by the Centers for Medicare & Medicaid Services on 2006-08-30.
As of what date was the information pertaining to Alphonso Willis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Alphonso Willis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-02-02.