Healthcare Provider Details

I. General information

NPI: 1417759085
Provider Name (Legal Business Name): NATHANIEL SEARCY WILLIAMS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2025
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3655 LOYOLA DR APT A303
KENNER LA
70065-7813
US

IV. Provider business mailing address

3655 LOYOLA DR APT A303
KENNER LA
70065-7813
US

V. Phone/Fax

Practice location:
  • Phone: 931-797-9242
  • Fax:
Mailing address:
  • Phone: 931-797-9242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number347462
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: