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Roger Dale Grayson II
Durable Medical Equipment & Medical Supplies in Winnsboro, Louisiana
NPI 1992276471

Roger Dale Grayson II is a Durable Medical Equipment & Medical Supplies based in Winnsboro, LA. Roger Dale Grayson II practices in Winnsboro, LA. The NPI Number for Roger Dale Grayson II is 1992276471 and holds a License No. 320306488 (Louisiana).

The current practice location address for Roger Dale Grayson II is 801 Prairie St, Winnsboro, LA and can be reached out via phone at 318-435-4140.

Location: 801 Prairie St, Winnsboro, LA, 71295-2631
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992276471
Provider Name
Roger Dale Grayson II
Credential
Provider Entity Type
Individual
Gender
Male
Address
801 Prairie St, Winnsboro, LA, 71295-2631
Phone Number
318-435-4140
Fax Number
Provider Enumeration Date
12/10/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2118218 05 LA
institution
Provider Business Practice Location Address Details
Address
801 Prairie St
City
Winnsboro
State
Louisiana
Zip
71295-2631
Phone Number
318-435-4140
Fax Number
person
Provider Business Mailing Address Details
Address
801 Prairie St
City
Winnsboro
State
Louisiana
Zip
71295-2631
Phone Number
318-435-4140
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
320306488 (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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