Williams, Amanda

Williams, Amanda is an individual health care provider with primary practice located at 2400 Hospital Dr Ste 400 , Bossier City LA 71111-2401. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Williams, Amanda can be contacted via phone (318) 212-7973.

Contact Information

Primary practice address
2400 Hospital Dr Ste 400 Bossier City LA 71111-2401
Fax: (318) 212-7836
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD.201611 Louisiana

Profile Details

NPI number 1629289657
LBN Legal business name Williams, Amanda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Jun 17th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629289657 NPPES
Louisiana MEDICAID 1078999

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