Mr. Shane Williams
Mr. Shane Williams is a Military Health Care Provider in Chalmette, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
2006 Chalona Ln Apt 2BChalmette, LA 70043-5571
Phone: (504) 502-1082
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Specialties & licences
| Military Health Care Provider (primary) | Taxonomy 171000000X |
|---|
Record details
| NPI number | 1417681537 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 13, 2022 |
| Last updated in NPPES | July 13, 2022 |
| Certification date | July 13, 2022 |
| Mailing address | 2006 Chalona Ln Apt 2b, Chalmette, LA 70043-5571 |