Reginald E Goldsby

NPI #1184692915 in Amite, Louisiana

Provider Information

NPI Number: 1184692915
Entity Type: Organization
Organization Name: Reginald E Goldsby
Primary Specialty: General Practice
Enumeration Date: Mar 9, 2006
Last Updated: Oct 31, 2007

Practice Location

Address: 309 WALNUT ST
Address 2: STE D
City: Amite
State: Louisiana
ZIP Code: 70422
Phone: (985) 748-9030

Authorized Official

Name: JULIA A SUMRALL
Title: OFFICE MANAGER
Phone: (985) 748-9030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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