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Alphonso Willis, MD
Hematology & Oncology Physician in Hattiesburg, Mississippi
NPI 1932219649

Alphonso Willis is a Hematology & Oncology Physician based in Hattiesburg, MS and is specialized in Hematology & Oncology. Alphonso Willis practices in Hattiesburg, MS and has the professional credentials of MD. The NPI Number for Alphonso Willis is 1932219649 and holds a License No. 15624 (Mississippi).

The current practice location address for Alphonso Willis is 301 S 28Th Ave, Hattiesburg, MS and can be reached out via phone at 601-288-8282 and via fax at 601-288-8290.

Location: 301 S 28Th Ave, Hattiesburg, MS, 39401-7246
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932219649
Provider Name
Alphonso Willis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
301 S 28Th Ave, Hattiesburg, MS, 39401-7246
Phone Number
601-288-8282
Fax Number
601-288-8290
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
830003891 01 MS RAILROAD MEDICARE
64050757294 01 MS AMERICAN ADMIN GROUP
00118538 05 MS
institution
Provider Business Practice Location Address Details
Address
301 S 28Th Ave
City
Hattiesburg
State
Mississippi
Zip
39401-7233
Phone Number
601-288-8282
Fax Number
601-288-8290
person
Provider Business Mailing Address Details
Address
301 S 28Th Ave
City
Hattiesburg
State
Mississippi
Zip
39401-7233
Phone Number
601-288-8282
Fax Number
601-288-8290
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
15624 (Mississippi)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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