IndividualActive
William Minor, IDC
NPI 1306043641 · Independent Duty Medical Technicians · Ssc, MS
Provider details
- NPI number
- 1306043641
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
Practice location
2603 Lower Gainsville Rd
Nattc Sbt 22
Ssc, MS 39529
Phone: (228) 813-4000
Mailing address
2603 Lower Gainsville Rd
Ssc, MS 39529
Registry dates
- Enumerated
- 2007-06-29
- Last updated
- 2010-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.