| NPI | 1639944580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL WILLIAMSON CEO 225-924-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
| Enumeration Date | 2023-11-21 |
| Last Update Date | 2023-11-21 |