Provider Demographics
NPI:1801606678
Name:WILLIAMS, ANTOINE GREGOIRE SR
Entity type:Individual
Prefix:MR
First Name:ANTOINE
Middle Name:GREGOIRE
Last Name:WILLIAMS
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:168 MARY JANE LN
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70128-1575
Mailing Address - Country:US
Mailing Address - Phone:501-319-2896
Mailing Address - Fax:
Practice Address - Street 1:168 MARY JANE LN
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70128-1575
Practice Address - Country:US
Practice Address - Phone:501-319-2896
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA006835956343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)