Healthcare Provider Details

I. General information

NPI: 1477050060
Provider Name (Legal Business Name): FEDERICA CHERILL WILLIAMS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2018
Last Update Date: 07/24/2023
Certification Date: 07/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8387 NEWFIELD DR
LIVONIA LA
70755-3605
US

IV. Provider business mailing address

8387 NEWFIELD DR
LIVONIA LA
70755-3605
US

V. Phone/Fax

Practice location:
  • Phone: 225-412-0202
  • Fax:
Mailing address:
  • Phone: 225-412-0202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number337623
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: