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Individual

WILLIAM S JOHNSON III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
502 RUE DE SANTE, SUITE 106, LA PLACE, LA 70068-5424
(985) 653-5570
(985) 653-5575
Mailing address
502 RUE DE SANTE, SUITE 106, LA PLACE, LA 70068-5424
(985) 653-5570
(985) 653-5575

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
L019071
LA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
L019071
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0900158
UNITED HEALTHCARE
01
173972500
US DEPT OF LABOR
05
1958999
LA
01
200045514
RAILROAD MEDICARE
01
4513032
AETNA
01
82565
COVENTRY
01
8710244002
CIGNA
Enumeration date
08/03/2006
Last updated
09/11/2025
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