Individual
GARLAND GARY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8401 PICARDY AVE, BATON ROUGE, LA 70809-3685
(225) 308-0247
(225) 308-0249
Mailing address
8401 PICARDY AVE, BATON ROUGE, LA 70809-3685
(225) 308-0247
(225) 308-0249
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
201586
LA
207RI0011X
Interventional Cardiology Physician
Primary
201586
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016349
—
LA
Enumeration date
01/04/2007
Last updated
01/22/2020
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