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Organization

JERRY W WILLIAMS OD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JERRY W WILLIAMS OD (OWNER)
(318) 628-6233
Entity
Organization

Contact information

Practice address
1605 WEST COURT ST, WINNFIELD, LA 71483
(318) 628-6233
Mailing address
PO BOX 928, WINNFIELD, LA 71483
(318) 628-6233

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1041041
LA
Enumeration date
03/26/2008
Last updated
03/26/2008
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