White Solomon Graves in Monroe - Sports Medicine
White Solomon Graves - NPI 1194700021
White Solomon Graves is a Sports Medicine in Monroe, Louisiana. White Solomon Graves practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for White Solomon Graves is 1194700021. The last update date is 2014-01-10.
White Solomon Graves's current location address is 1501 Louisville Ave, Monroe, Louisiana. You can contact this provider via phone number 3183238451 and fax number 3183612613. The mailing address for White Solomon Graves is 1501 Louisville Ave, Monroe, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | White Solomon Graves |
|---|---|
| Address | 1501 Louisville Ave, Monroe, Louisiana |
| Phone Number | 3183238451 |
| Fax Number | 3183612613 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1194700021 |
|---|---|
| Provider Enumeration Date | 2005-12-14 |
| Last Updated Date | 2014-01-10 |
Provider Mailing Address Detail
| Address | 1501 Louisville Ave |
|---|---|
| City | Monroe |
| State | Louisiana (LA) |
| Post Code | 712016025 |
| Phone Number | 3183238451 |
| Fax Number | 3183612613 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 14205R |
|
Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1107131 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to White Solomon Graves by the Centers for Medicare & Medicaid Services?
The White Solomon Graves has been issued the NPI (National Provider Identifier) 1194700021, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
When did the White Solomon Graves receive its 1194700021?
The White Solomon Graves was issued its 1194700021 on 2005-12-14, which is the date when the organization was assigned this unique identifier.
On what date did the White Solomon Graves receive its 1194700021 assignment from the Centers for Medicare & Medicaid Services?
The White Solomon Graves was assigned its 1194700021 by the Centers for Medicare & Medicaid Services on 2005-12-14.
As of what date were the White Solomon Graves's details last updated?
The information pertaining to the White Solomon Graves, including its address, specialty, and other details, was most recently updated on 2014-01-10.
As of what date were the details related to White Solomon Graves most recently updated or revised?
The information pertaining to White Solomon Graves, including its address, specialty, and other relevant details, was last updated or revised on 2014-01-10.