MEDICARE: DARIUS WILLIAMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist		MS

General Provider Information

NPI Number	:	1427542638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARIUS WILLIAMS

Provider Business Mailing Address
First Line	:	4109 HIGHWAY 98 W
Second Line	:
City	:	SUMMIT
State	:	MS
Zip	:	39666-9132
Country	:	US
Telephone Number	:	601-276-3909
Fax Number	:

Provider Business Practice Location Address
First Line	:	15A S SIXTH ST
Second Line	:
City	:	BAY SPRINGS
State	:	MS
Zip	:	39422-9052
Country	:	US
Telephone Number	:	601-764-2101
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2018
Last Update Date	:	06/20/2018

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Directions to “ DARIUS WILLIAMS ” Practice Location

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