Individual
MR. GREGORY JAY HILL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6012 KIRSTEN LANE, SHREVEPORT, LA 71129
(318) 773-7169
Mailing address
6012 KIRSTEN LN, SHREVEPORT, LA 71129-4355
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
6481442
LA
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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