Individual
DEMETRIUS WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1150 W CAUSEWAY APPROACH, MANDEVILLE, LA 70471-3038
(866) 530-6111
Mailing address
PO BOX 18679, HATTIESBURG, MS 39404-8679
(601) 705-1901
(601) 705-1952
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
905371
MS
Other
Enumeration date
07/07/2022
Last updated
05/22/2023
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