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Organization
BIENVILLE ORTHOPAEDIC SPECIALISTS, LLC
Active
Organization
BIENVILLE ORTHOPAEDIC SPECIALISTS, LLC
Active
Parent organization
BIENVILLE ORTHOPAEDIC SPECIALISTS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BIENVILLE ORTHOPAEDIC SPECIALISTS, LLC
Authorized official
LEE BOND (CEO)
(228) 230-2663
Entity
Organization
Contact information
Practice address
6300 EAST LAKE BLVD., SUITE 201, VANCLEAVE, MS 39565-6771
(228) 230-2663
(228) 206-1192
Mailing address
6300 EAST LAKE BLVD., SUITE 301, VANCLEAVE, MS 39565-6771
(288) 230-2663
(228) 206-1192
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/20/2019
Last updated
09/07/2023
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