Organization
GREER NEUROSURGERY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA R JOHNSON (ACCOUNT/CLAIMS COORDINATOR)
(318) 323-9433
Entity
Organization
Contact information
Practice address
414 WOOD ST, MONROE, LA 71201-7445
(318) 323-9433
(318) 361-2680
Mailing address
PO BOX 3123, MONROE, LA 71210-3123
(318) 323-9433
(318) 361-2680
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD.010638
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1793795
—
LA
Enumeration date
05/11/2007
Last updated
03/22/2011
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