MEDICARE: RHEUMATOLOGY AND OSTEOPOROSIS SPECIALISTS, AMC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RR0500X	Rheumatology Physician	13598	LA

General Provider Information

NPI Number	:	1689766271
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RHEUMATOLOGY AND OSTEOPOROSIS SPECIALISTS, AMC

Provider Business Mailing Address
First Line	:	820 JORDAN
Second Line	:	SUITE 201
City	:	SHREVEPORT
State	:	LA
Zip	:	71101
Country	:	US
Telephone Number	:	318-221-0399
Fax Number	:	318-221-1940

Provider Business Practice Location Address
First Line	:	820 JORDAN ST STE 201
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71101-4518
Country	:	US
Telephone Number	:	318-221-0399
Fax Number	:	318-221-1940

Authorized Official
Title or Position	:	BUSINESS MANAGER
Name	:	SHARON LOW DAVIS
Credential	:
Telephone Number	:	318-221-0399

Provider Enumeration Date	:	09/29/2006
Last Update Date	:	05/08/2025

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