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
42078 VETERANS AVE STE B, HAMMOND, LA 70403-1490
(225) 490-3070
Mailing address
8080 BLUEBONNET BLVD STE 1000, BATON ROUGE, LA 70810-7827
(225) 924-2424
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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