Organization
REHABILITATION PHYSICIANS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MARSHALL GREEN MD (OWNER)
(225) 765-8987
Entity
Organization
Contact information
Practice address
5000 HENNESSY BLVD, REHAB UNIT, BATON ROUGE, LA 70808-4375
(225) 765-8987
Mailing address
PO BOX 53904, LAFAYETTE, LA 70505-3904
(337) 593-5420
(337) 593-5442
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1441694
—
LA
Enumeration date
05/25/2006
Last updated
03/31/2008
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