Organization
SPINE CARE METAIRIE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BATHERSON DC (OWNER/PRESIDENT)
(504) 828-0880
Entity
Organization
Contact information
Practice address
2717 RIDGELAKE DR, METAIRIE, LA 70002
(504) 828-0880
(504) 828-3008
Mailing address
2717 RIDGELAKE DR, METAIRIE, LA 70002
(504) 828-0880
(504) 828-3008
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
583
LA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
14222R
LA
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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