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Organization

BATON ROUGE ORTHOPAEDIC CLINIC LLC

Active
Parent organization
BATON ROUGE ORTHOPAEDIC CLINIC LLC
Other names
Baton Rouge Orthopaedic Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
BATON ROUGE ORTHOPAEDIC CLINIC LLC
Authorized official
SAMUEL WILLIAMSON (CEO)
(225) 924-2424
Entity
Organization

Contact information

Practice address
5000 ODONAVAN BLVD STE 518, WALKER, LA 70785-6353
(225) 380-1312
(225) 380-1314
Mailing address
8080 BLUEBONNET BLVD STE 1000, BATON ROUGE, LA 70810-7827
(225) 924-2424

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
225100000X
Physical Therapist
225X00000X
Occupational Therapist
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
335E00000X
Prosthetic/Orthotic Supplier
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
03/18/2025
Last updated
03/18/2025
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