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NPI Code Detail

MEDICARE: DR. BARON JAMES WILLIAMSON MD

MEDICARE: DR. BARON JAMES WILLIAMSON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician021383LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336145606
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BARON JAMES WILLIAMSON MD
Provider Business Mailing Address
First Line : 2421 CHURCH ST
Second Line :
City : ZACHARY
State : LA
Zip : 70791-2710
Country : US
Telephone Number : 225-654-1061
Fax Number : 225-654-0791
Provider Business Practice Location Address
First Line : 2421 CHURCH ST
Second Line :
City : ZACHARY
State : LA
Zip : 70791-2710
Country : US
Telephone Number : 225-654-1061
Fax Number : 225-654-0791
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 06/05/2024

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