Basic Information
| Provider Information | |||||||||
| NPI: | 1528528429 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WILLIAMS | ||||||||
| FirstName: | SCOTT | ||||||||
| MiddleName: | R | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1440 CANAL ST STE 1000 | ||||||||
| Address2: | |||||||||
| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 701122703 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5049885246 | ||||||||
| FaxNumber: | 5049884270 | ||||||||
| Practice Location | |||||||||
| Address1: | 1440 CANAL ST STE 1000 | ||||||||
| Address2: | |||||||||
| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 701122703 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5049885246 | ||||||||
| FaxNumber: | 5049884270 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/25/2019 | ||||||||
| LastUpdateDate: | 07/15/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/15/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | 313122 | LA | N | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | 390200000X | LA | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 2084P0800X | 328061 | LA | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.