Organization
ORTHOPEDIC AND SPORTS MEDICINE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WILLIAMSON (CEO)
(225) 924-2424
Entity
Organization
Contact information
Practice address
8080 BLUEBONNET BLVD STE 1000, BATON ROUGE, LA 70810-7827
(225) 924-2424
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
—
—
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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