Healthcare Provider Details
I. General information
NPI: 1346454964
Provider Name (Legal Business Name): LESLIE-ANN WILLIAMS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/10/2007
Last Update Date: 12/20/2021
Certification Date: 12/20/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9151 ESTATE THOMAS 104
ST THOMAS VI
00802-2711
US
IV. Provider business mailing address
PO BOX 997
ST. THOMAS VI
00804
US
V. Phone/Fax
- Phone: 340-777-2273
- Fax: 340-777-2283
- Phone: 888-502-4443
- Fax: 340-777-2283
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 1966 |
| License Number State | VI |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 1966 |
| License Number State | VI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: