Individual
DR. JOHN VINCENT WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8777 BLUEBONNET BLVD, SUITE A, BATON ROUGE, LA 70810-2818
(225) 766-1899
(225) 766-1995
Mailing address
8777 BLUEBONNET BLVD, SUITE A, BATON ROUGE, LA 70810-2818
(225) 766-1899
(225) 766-1995
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD.06262R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336165
—
LA
Enumeration date
02/16/2007
Last updated
07/08/2007
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