Provider Demographics
NPI:1760486567
Name:WILLIAMS, ADRIENNE M (MD)
Entity Type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:M
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:312 GRAMMONT ST
Mailing Address - Street 2:STE 300
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-7403
Mailing Address - Country:US
Mailing Address - Phone:318-388-4030
Mailing Address - Fax:318-324-3334
Practice Address - Street 1:417 MCMILLAN RD
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-5325
Practice Address - Country:US
Practice Address - Phone:318-388-4030
Practice Address - Fax:318-325-8437
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2022-01-14
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Provider Licenses
StateLicense IDTaxonomies
LA018541207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1368989Medicaid
LA50781C148Medicare PIN
LA1368989Medicaid