Raven Shanise Williams, PA-C

NPI #1528624160 in Mound Bayou, Mississippi

Provider Information

NPI Number: 1528624160
Entity Type: Individual
Name: Raven Shanise Williams, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 18, 2019
Last Updated: May 20, 2025

Practice Location

Address: 702 W. M.L.K. JR DR.
City: Mound Bayou
State: Mississippi
ZIP Code: 38762
Phone: (662) 741-2151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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