NPI 1023887098
Dominique Williams
Practice location
- Address
- 120 E Center St, Canton, MS 39046-3733
- Phone
- (769) 220-2848
- Mailing address
- 644 Way Rd, Canton, MS 39046-8708
Registered specialties (2)
Prosthetic/Orthotic Supplier
Primary
Prosthetic/Orthotic Supplier
Registry record
- NPI
- 1023887098
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 1 Jan 2024
- Record last updated
- 1 Jan 2024
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.