# SOUTHERN OSTEOPOROSIS SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306093455
- **Authorized official:** DR. ROGER A SMITH MD (OWNER)
- **Authorized official phone:** (318) 435-7881

## Contact information

- **Practice address:** 6913 PRAIRIE ROAD, WINNSBORO, LA 71295
- **Practice address phone:** (318) 435-7881
- **Mailing address:** 138 JACKSON LN, GILBERT, LA 71336-5834
- **Mailing address phone:** (318) 435-7881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MD.018530 | LA | Yes |

## Other

- **Enumeration date:** 08/20/2008
- **Last updated:** 08/20/2008