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NPI Code Detail

MEDICARE: WILLIE J ROUNDS

MEDICARE:   WILLIE J ROUNDS
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
1343900000XNon-emergency Medical Transport (VAN)801090759MS

General Provider Information

NPI Number : 1699348235
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIE J ROUNDS
Provider Business Mailing Address
First Line : 1019 CROWDER DR
Second Line :
City : CHARLESTON
State : MS
Zip : 38921-9825
Country : US
Telephone Number : 662-625-9027
Fax Number :
Provider Business Practice Location Address
First Line : 1019 CROWDER DR
Second Line :
City : CHARLESTON
State : MS
Zip : 38921-9825
Country : US
Telephone Number : 662-625-9027
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2021
Last Update Date : 02/15/2026

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Directions to “ WILLIE J ROUNDS ” Practice Location

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