Provider Demographics
NPI:1588939581
Name:SAFLEY, WILLIAM LAWSON (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:LAWSON
Last Name:SAFLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11078 CHANNELSIDE DR
Mailing Address - Street 2:
Mailing Address - City:GULFPORT
Mailing Address - State:MS
Mailing Address - Zip Code:39503-6049
Mailing Address - Country:US
Mailing Address - Phone:228-234-1709
Mailing Address - Fax:
Practice Address - Street 1:11078 CHANNELSIDE DR
Practice Address - Street 2:
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39503-6049
Practice Address - Country:US
Practice Address - Phone:228-234-1709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-09
Last Update Date:2012-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS07052208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)