Cordarius Wayne, ATC, LAT

NPI 1568984581 · on the registry since 2017 · sole proprietor

Practice

Address: 216 W Union St Ste A
Minden, LA 71055
Phone: (318) 299-6334
Fax: (318) 299-6332
Organisation at this address: Minden Orthopaedics, Apmc
Minden Orthopaedics & Rehab Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 2255A2300X
2255A2300X
Licence states on file: LA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-07-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana