NPI 1104285287

Charles Williams

Practitioner Driver Shreveport, LA

Practice location

Address: 1535 River Parkway Blvd #1108, Shreveport, LA 71104-1808
Phone: (318) 828-1500
Fax: (318) 670-6736

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 2380885 (LA)

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Registry record

NPI: 1104285287
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Feb 2016
Record last updated: 17 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.