NPI 1053788240

J. Todd Willis, MD Clinic

Organisation General Practice Physician Philadelphia, MS

Practice location

Address: 1003 Holland Avenue Suite 104, Philadelphia, MS 39350-2180
Phone: (601) 656-0010
Fax: (601) 656-0313
Mailing address: 1003 Holland Ave Suite 104, Philadelphia, MS 39350-2180

Authorised official

Name: Cheryl Leann Savell
Title: Credentialing Coordinator
Phone: (601) 663-1285

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 12556 (MS)

Other General Practice providers in Mississippi →

Registry record

NPI: 1053788240
Entity type: Organization
NPI issued: 24 Aug 2015
Record last updated: 24 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.