| Southern Osteoporosis Service | |
|
6913 Prairie Road Winnsboro LA 71295 | |
| (318) 435-7881 | |
| Not Available |
| Full Name | Southern Osteoporosis Service |
|---|---|
| Speciality | Internal Medicine |
| Location | 6913 Prairie Road, Winnsboro, Louisiana |
| Authorized Official Name and Position | Roger A Smith (OWNER) |
| Authorized Official Contact | 3184357881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Osteoporosis Service 138 Jackson Ln Gilbert LA 71336-5834 Ph: (318) 435-7881 | Southern Osteoporosis Service 6913 Prairie Road Winnsboro LA 71295 Ph: (318) 435-7881 |
| NPI Number | 1306093455 |
|---|---|
| Provider Enumeration Date | 08/20/2008 |
| Last Update Date | 08/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306093455 | NPI | - | NPPES |
| 1386839 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD.018530 (Louisiana) | Primary |
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