Provider Demographics
NPI:1811681356
Name:PIERRE-AUGUST, GREG
Entity type:Individual
Prefix:
First Name:GREG
Middle Name:
Last Name:PIERRE-AUGUST
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 DIXON RD
Mailing Address - Street 2:
Mailing Address - City:SUNSET
Mailing Address - State:LA
Mailing Address - Zip Code:70584-5709
Mailing Address - Country:US
Mailing Address - Phone:337-678-9897
Mailing Address - Fax:
Practice Address - Street 1:145 DIXON RD
Practice Address - Street 2:
Practice Address - City:SUNSET
Practice Address - State:LA
Practice Address - Zip Code:70584-5709
Practice Address - Country:US
Practice Address - Phone:337-678-9897
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No172A00000XOther Service ProvidersDriver
No342000000XTransportation ServicesTransportation Network Company