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Contact Information

JIMMY R WINDHAM II, MD
4381 S EASON BLVD STE 203
TUPELO, MS38801-6557
 Phone: 662-377-5199
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for JIMMY R WINDHAM II · (Male)

NPI # 1699208918
Status Active
Credentials MD
Entity Individual
Enumeration date 04/04/2017
Last updated 04/26/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 29895
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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