William Anthony Minor, IDC
NPI #1306043641 in Ssc, Mississippi
Provider Information
- NPI Number
- 1306043641
- Entity Type
- Individual
- Name
- William Anthony Minor, IDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Medical Technicians
- Credential
- IDC
- Enumeration Date
- Jun 29, 2007
- Last Updated
- Aug 31, 2010
Practice Location
- Address
- 2603 LOWER GAINSVILLE RD
- Address 2
- NATTC SBT 22
- City
- Ssc
- State
- Mississippi
- ZIP Code
- 39529
- Phone
- (228) 813-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians |
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