Dr. Edward Paul Southern
Orthopaedic Surgeon Orthopaedic Spine Surgeon Pediatric Orthopaedic Surgeon
Bayne-Jones Army Community Hospital 1585 Third St
Fort Polk
, Louisiana 71459
Dr. Edward Paul Southern
Orthopaedic Surgeon Orthopaedic Spine Surgeon Pediatric Orthopaedic Surgeon
Bayne-Jones Army Community Hospital 1585 Third St
Fort Polk
, Louisiana 71459
(337) 531-3000
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About
Features
Specialties
- Orthopaedic Surgeon
- Pediatric Orthopaedic Surgeon
- Orthopaedic Spine Surgeon
Languages spoken
- English
Location
First Address
- Dr. Edward Paul Southern
- Bayne-Jones Army Community Hospital 1585 Third St
- Fort Polk, LA
- Zip : 71459
- Phone : (337) 531-3000
Second Address
- Dr. Edward Paul Southern
- Bayne-Jones Army Community Hospital 1585 Third St
- Fort Polk, LA
- Zip : 71459
- Phone : (337) 531-3000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | C050274 | CA |
| N | 207XP3100X | Pediatric Orthopaedic Surgeon | C050274 | CA |
| Y | 207XS0117X | Orthopaedic Spine Surgeon | C050274 | CA |
National Provider Identifier
| NPI | 1053360941 |
|---|---|
| Provider Name | Dr. Edward Paul Southern |
| First Address | Fort Polk, LA 71459 |
| Second Address | Fort Polk, LA 71459 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/05/2006 |
| Last Update Date | 27/10/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2301209 | (05) | LA |
| BS4496724 | DEA (01) | LA |
| DEA | BS4496724 (01) | MN |
| E22385 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.