Healthcare Provider Details

I. General information

NPI: 1922016153
Provider Name (Legal Business Name): WILLIAM S. JOHNSON, III, M.D., APMC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 RUE DE SANTE SUITE 106
LA PLACE LA
70068-5424
US

IV. Provider business mailing address

502 RUE DE SANTE SUITE 106
LA PLACE LA
70068-5424
US

V. Phone/Fax

Practice location:
  • Phone: 985-653-5570
  • Fax: 985-653-5575
Mailing address:
  • Phone: 985-653-5570
  • Fax: 985-653-5575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM S JOHNSON III
Title or Position: PRESIDENT
Credential: M.D.
Phone: 985-653-5570