Provider Demographics
NPI:1295064004
Name:CYNTHIA A. WILLIAMS, A.P.M.C.
Entity type:Organization
Organization Name:CYNTHIA A. WILLIAMS, A.P.M.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:ALICIA
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-464-8750
Mailing Address - Street 1:3555 LOYOLA DR
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-7706
Mailing Address - Country:US
Mailing Address - Phone:504-464-8750
Mailing Address - Fax:
Practice Address - Street 1:3555 LOYOLA DR
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-7706
Practice Address - Country:US
Practice Address - Phone:504-464-8750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-08
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA05854R261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty