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General NPI Number Information
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NPI Number | 1669687844
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Entity Type | Organization
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Legal Business Name | GREER NEUROSURGERY CLINIC
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 03/22/2011
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Provider Practice Location Address
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Address Line | 414 WOOD ST
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City | MONROE
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State | LA
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Zip | 71201-7445
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Country | US
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Telephone | 318-323-9433
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Fax | 318-361-2680
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Provider Business Mailing Address
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Address Line | PO BOX 3123
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City | MONROE
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State | LA
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Zip | 71210-3123
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Country | US
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Telephone | 318-323-9433
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Fax | 318-361-2680
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Authorized Official
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Title or Position | ACCOUNT/CLAIMS COORDINATOR
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Name | MRS. ANGELA R JOHNSON
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Credential |
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Telephone | 318-323-9433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD.010638
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License Number State | LA
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