| Doctor Name: | DR. REGINALD EARL GOLDSBY |
| NPI Number: | 1750303483 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD011134 |
| Business Practice Address: | 309 Walnut St Ste A Amite, LA - 704222055 |
| Business Phone Number: | 9852472700 |
| Business Fax Number: | 9852472702 |
| Mailing Address: | 309 Walnut St, Ste A AMITE |
| State: | LA |
| Postal Code: | 704222055 |
| Phone Number: | 9852472700 |
| Fax Number: | 9852472702 |
| NPI Enumeration Date: | 07/24/2006 |
| NPI Last Update Date: | 03/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD011134 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |