Organization
BATON ROUGE ORTHOPAEDIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WILLIAMSON (CEO)
(225) 924-2424
Entity
Organization
Contact information
Practice address
4920 CHURCH ST STE E, ZACHARY, LA 70791-3580
(225) 658-1808
(225) 658-5922
Mailing address
8080 BLUEBONNET BLVD, SUITE 1000, BATON ROUGE, LA 70810-7827
(225) 924-2424
(225) 408-7984
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1793418
—
LA
Enumeration date
04/23/2008
Last updated
03/11/2025
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