Organization
SMALLS MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REGINALD ANTHONY SMALLS (OWNER)
(318) 294-1139
Entity
Organization
Contact information
Practice address
3803 CLEVELAND AVENUE, SHREVEPORT, LA 71109-2425
(318) 294-1139
Mailing address
199 FOUNTAIN VIEW, SHREVEPORT, LA 71118-2425
(318) 294-1139
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/02/2007
Last updated
10/18/2010
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