Doctor Name: | WILLIAM TRULY |
NPI Number: | 1780893602 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 066123 |
Business Practice Address: | East Peace St Canton, MS - 390461069 |
Business Phone Number: | 6018290018 |
Business Fax Number: | 6018290944 |
Mailing Address: | Po Box 1069, CANTON |
State: | MS |
Postal Code: | 390461069 |
Phone Number: | 6018290018 |
Fax Number: | 6018290944 |
NPI Enumeration Date: | 05/21/2007 |
NPI Last Update Date: | 06/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 066123 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |