IndividualActive
Joanetta Williams, COSMETOLOGIST
NPI 1295203602 · Prosthetist · Hattiesburg, MS
Provider details
- NPI number
- 1295203602
- Entity type
- Individual
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COSMETOLOGIST
- Sex
- Female
- Sole proprietor
- Yes
- License
- 00-12147 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
806 S 28th Ave
Hattiesburg, MS 39402-2601
Phone: (601) 606-7652
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 18956
Hattiesburg, MS 39404-8956
Registry dates
- Enumerated
- 2018-11-05
- Last updated
- 2018-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.