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NPI Code Detail

MEDICARE: JAMESIA DANZELLE WILLIAMS

MEDICARE: JAMESIA DANZELLE WILLIAMS
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1992233720
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMESIA DANZELLE WILLIAMS
Provider Business Mailing Address
First Line : 1676 DALLAS DR STE C
Second Line :
City : BATON ROUGE
State : LA
Zip : 70806-1409
Country : US
Telephone Number : 225-292-5151
Fax Number : 225-292-5152
Provider Business Practice Location Address
First Line : 1676 DALLAS DR STE C
Second Line :
City : BATON ROUGE
State : LA
Zip : 70806-1409
Country : US
Telephone Number : 225-292-5151
Fax Number : 225-292-5152
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2017
Last Update Date : 06/01/2022

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Directions to “ JAMESIA DANZELLE WILLIAMS ” Practice Location

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