Individual
DR. REATHA M WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5000 AMBASSADOR CAFFERY PKWY BLDG 10, LAFAYETTE, LA 70508-6984
(337) 470-7801
(337) 470-7800
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0011
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DO.000148
LA
208600000X
Surgery Physician
OS 8472
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1369357
—
LA
05
—
264585801
—
FL
Enumeration date
05/25/2006
Last updated
05/21/2021
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