Provider Demographics
NPI:1407925407
Name:WILLIAMS, WILLIAM LIBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:LIBERT
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69303 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-6612
Mailing Address - Country:US
Mailing Address - Phone:985-674-1944
Mailing Address - Fax:985-674-1944
Practice Address - Street 1:69303 4TH AVE
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-6612
Practice Address - Country:US
Practice Address - Phone:985-674-1944
Practice Address - Fax:985-674-1944
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2013-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.02730R207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease