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NPI Code Detail

MEDICARE: ANNA JOY WILLINGHAM MD

MEDICARE: ANNA JOY WILLINGHAM MD
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
1208D00000XGeneral Practice PhysicianNONENM

General Provider Information

NPI Number : 1225977168
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA JOY WILLINGHAM MD
Provider Business Mailing Address
First Line : 4311 E LOHMAN AVE
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-8255
Country : US
Telephone Number : 575-556-7600
Fax Number :
Provider Business Practice Location Address
First Line : 4311 E LOHMAN AVE
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-8255
Country : US
Telephone Number : 575-556-7600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2026
Last Update Date : 03/26/2026

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Directions to “ ANNA JOY WILLINGHAM MD” Practice Location

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