Organization
IMAC MEDICAL OF LOUISIANA A MEDICAL CORPORATION
Active
Other names
Louisiana Orthopedic & Spine Institute
Organization subpart
No
Provider details
NPI number
Authorized official
BAILEE BOYETT (CREDENTIALING SPECIALIST)
(615) 637-7333
Entity
Organization
Contact information
Practice address
1940 ONEAL LN, BATON ROUGE, LA 70816-3201
(888) 553-3689
(225) 751-6680
Mailing address
1605 WESTGATE CIR STE 100, BRENTWOOD, TN 37027-8396
(844) 266-4622
(615) 637-7334
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
02/08/2022
Last updated
08/08/2022
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