| Dr Jerry V Williams A Professional Medical Corporation | |
|
317 W Ascension St Gonzales LA 70737-2805 | |
| (225) 647-9297 | |
| (225) 647-3784 |
| Full Name | Dr Jerry V Williams A Professional Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 317 W Ascension St, Gonzales, Louisiana |
| Authorized Official Name and Position | Jerry V. Williams (OWNER) |
| Authorized Official Contact | 2256479297 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jerry V Williams A Professional Medical Corporation 317 W Ascension St Gonzales LA 70737-2805 Ph: (225) 647-9297 | Dr Jerry V Williams A Professional Medical Corporation 317 W Ascension St Gonzales LA 70737-2805 Ph: (225) 647-9297 |
| NPI Number | 1780882290 |
|---|---|
| Provider Enumeration Date | 07/05/2007 |
| Last Update Date | 06/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780882290 | NPI | - | NPPES |
| 1347353 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 017104 (Louisiana) | Primary |
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