Dr. White Solomon Graves IV
Sports Medicine Orthopaedic Surgeon
1501 Louisville Ave
Monroe
, Louisiana 71201-6025
Dr. White Solomon Graves IV
Sports Medicine Orthopaedic Surgeon
1501 Louisville Ave
Monroe
, Louisiana 71201-6025
(318) 361-2613
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About
Features
Specialties
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. White Solomon Graves IV
- 1501 Louisville Ave
- Monroe, LA
- Zip : 71201-6025
- Fax : (318) 361-2613
- Phone : (318) 323-8451
Second Address
- Dr. White Solomon Graves IV
- 1501 Louisville Ave
- Monroe, LA
- Zip : 71201-6025
- Fax : (318) 361-2613
- Phone : (318) 323-8451
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 14205R | LA |
National Provider Identifier
| NPI | 1194700021 |
|---|---|
| Provider Name | Dr. White Solomon Graves IV |
| First Address | Monroe, LA 71201-6025 |
| Second Address | Monroe, LA 71201-6025 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/12/2005 |
| Last Update Date | 10/01/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1107131 | (05) | LA |
| H21975 | (02) |
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.