Organization
REGINALD E GOLDSBY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA A SUMRALL (OFFICE MANAGER)
(985) 748-9030
Entity
Organization
Contact information
Practice address
309 WALNUT ST, STE D, AMITE, LA 70422
(985) 748-9030
(985) 748-5352
Mailing address
309 WALNUT ST, STE D, AMITE, LA 70422
(985) 748-9030
(985) 748-5352
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/09/2006
Last updated
10/31/2007
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