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Organization

BIENVILLE ORTHOPAEDIC SPECIALISTS, LLC

Active
Parent organization
BIENVILLE ORTHOPAEDIC SPECIALISTS, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
BIENVILLE ORTHOPAEDIC SPECIALISTS, LLC
Authorized official
LEE BOND (CEO)
(228) 230-2663
Entity
Organization

Contact information

Practice address
6300 EAST LAKE BLVD., SUITE 201, VANCLEAVE, MS 39565-6771
(228) 230-2663
(228) 206-1192
Mailing address
6300 EAST LAKE BLVD., SUITE 301, VANCLEAVE, MS 39565-6771
(288) 230-2663
(228) 206-1192

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
02/20/2019
Last updated
09/07/2023
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