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Mr. Shane Williams
Military Health Care Provider in Chalmette, Louisiana
NPI 1417681537

Shane Williams is a Military Health Care Provider based in Chalmette, LA. Shane Williams practices in Chalmette, LA. The NPI Number for Shane Williams is 1417681537 and holds a License No. (Louisiana).

The current practice location address for Shane Williams is 2006 Chalona Ln Apt 2B, Chalmette, LA and can be reached out via phone at 504-502-1082.

Location: 2006 Chalona Ln Apt 2B, Chalmette, LA, 70043-5571
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417681537
Provider Name
Shane Williams
Credential
Provider Entity Type
Individual
Gender
Male
Address
2006 Chalona Ln Apt 2B, Chalmette, LA, 70043-5571
Phone Number
504-502-1082
Fax Number
Provider Enumeration Date
07/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2006 Chalona Ln Apt 2B
City
Chalmette
State
Louisiana
Zip
70043-5571
Phone Number
504-502-1082
Fax Number
person
Provider Business Mailing Address Details
Address
2006 Chalona Ln Apt 2B
City
Chalmette
State
Louisiana
Zip
70043-5571
Phone Number
504-502-1082
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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