Individual
EDWARD WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22749 FAIRVWAY VIEW DRIVE, ZACHARY, LA 70791
(504) 919-3293
Mailing address
22749 FAIRVWAY VIEW DRIVE, ZACHARY, LA 70791
(504) 919-3293
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000
—
LA
Enumeration date
08/05/2019
Last updated
08/05/2019
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