Organization
ERIC M. GREBER, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIM M LEGENDRE MBA (CFO)
(985) 492-1204
Entity
Organization
Contact information
Practice address
726 N ACADIA RD STE 1000, THIBODAUX, LA 70301-5009
(985) 625-2200
(985) 625-1212
Mailing address
PO BOX 28, THIBODAUX, LA 70302-0028
(985) 492-1204
(985) 492-1212
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225320906
NPPES
—
Enumeration date
07/31/2017
Last updated
02/19/2018
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