Individual
AMANDA L WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
16777 MEDICAL CENTER DR, BATON ROUGE, LA 70816-3254
(225) 754-5191
Mailing address
7777 HENNESSY BLVD, SUITE 103, BATON ROUGE, LA 70808
(225) 767-6700
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
A10583
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06979059
—
MS
05
—
1625809
—
LA
Enumeration date
10/24/2005
Last updated
12/29/2016
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