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NPI Code Detail

MEDICARE: DR. WILLIAM RANDALL WILLIAMSON MD

MEDICARE:  DR. WILLIAM RANDALL 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 Physician012044LA

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 : 1114924560
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM RANDALL WILLIAMSON MD
Provider Business Mailing Address
First Line : 550 CONNELLS PARK LN
Second Line :
City : BATON ROUGE
State : LA
Zip : 70806-6539
Country : US
Telephone Number : 225-924-2020
Fax Number : 225-924-2097
Provider Business Practice Location Address
First Line : 550 CONNELLS PARK LN
Second Line :
City : BATON ROUGE
State : LA
Zip : 70806-6539
Country : US
Telephone Number : 225-924-2020
Fax Number : 225-924-2097
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 06/27/2011

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Directions to “ DR. WILLIAM RANDALL WILLIAMSON MD” Practice Location

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