Provider Demographics
NPI:1366493785
Name:WILLIAMS, CHERYL HAYES (MD)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:HAYES
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8030 CROWDER BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70127-1076
Mailing Address - Country:US
Mailing Address - Phone:504-241-2220
Mailing Address - Fax:
Practice Address - Street 1:8030 CROWDER BLVD STE A
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127-1076
Practice Address - Country:US
Practice Address - Phone:504-241-2220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA019973207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1992828Medicaid
LA1992828Medicaid