Provider Demographics
NPI:1619906112
Name:HILLEGASS, WILLIAM B JR (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:B
Last Name:HILLEGASS
Suffix:JR
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:PO BOX 11407, DEPT 2130
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35246-2301
Mailing Address - Country:US
Mailing Address - Phone:601-984-5678
Mailing Address - Fax:601-984-5638
Practice Address - Street 1:SELECT SPECIALTY - CARDIOLOGY
Practice Address - Street 2:5903 RIDGEWOOD ROAD
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39211-1900
Practice Address - Country:US
Practice Address - Phone:601-984-5678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS32921207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease