person
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. You can also correspond with Roger Dale Grayson II through the mailing address at 801 PRAIRIE ST, WINNSBORO, LA - 71295-2631 (mailing address contact number: 318-435-4140).

Location: 801 Prairie St, Winnsboro, LA, 71295-2631
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
State
Zip
71295-2631
Phone Number
318-435-4140
Fax Number
person
Provider Business Mailing Address Details
Address
801 Prairie St
City
State
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
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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