Individual
JACQUELINE G WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7516 PICARDY AVE, SUITE B, BATON ROUGE, LA 70808-4333
(225) 765-7144
(225) 765-7115
Mailing address
PO BOX 66208, BATON ROUGE, LA 70896-6208
(225) 765-7144
(225) 765-7115
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
017029
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1337358
—
LA
Enumeration date
01/29/2007
Last updated
07/08/2007
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