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Reggie Green
Durable Medical Equipment & Medical Supplies in Gonzales, Louisiana
NPI 1104914373

Reggie Green is a Durable Medical Equipment & Medical Supplies based in Gonzales, LA. Reggie Green practices in Gonzales, LA. The NPI Number for Reggie Green is 1104914373 and holds a License No. 02879 (Louisiana).

The current practice location address for Reggie Green is 105 W Cornerview St, Gonzales, LA and can be reached out via phone at 225-644-6514 and via fax at 225-644-6514.

Location: 105 W Cornerview St, Gonzales, LA, 70737-8509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104914373
Provider Name
Reggie Green
Credential
Provider Entity Type
Organization
Address
105 W Cornerview St, Gonzales, LA, 70737-8509
Phone Number
225-644-6514
Fax Number
225-644-6514
Provider Enumeration Date
10/11/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1527297 05 LA
institution
Provider Business Practice Location Address Details
Address
105 W Cornerview St
City
Gonzales
State
Louisiana
Zip
70737-2839
Phone Number
225-644-6514
Fax Number
225-644-6514
person
Provider Business Mailing Address Details
Address
105 W Cornerview St
City
Gonzales
State
Louisiana
Zip
70737-2839
Phone Number
225-644-6514
Fax Number
225-644-6514
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
02879 (Louisiana)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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