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Individual

PAUL WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4212 W CONGRESS ST STE 3100, LAFAYETTE, LA 70506-6771
(337) 703-3201
Mailing address
317 GLASGOW DR, LAFAYETTE, LA 70508-6589

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
328867
LA
273Y00000X
Rehabilitation Hospital Unit
282N00000X
General Acute Care Hospital

Other

Enumeration date
03/20/2015
Last updated
10/06/2021
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