Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | 11227R | LA |
NPI | 1598826885 |
---|---|
Provider Name | Dr. Eric R George |
First Address | Metairie, LA 70006 |
Second Address | Metairie, LA 70006 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2006 |
Last Update Date | 18/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1663301 | (05) | LA |
G08692 | (02) | LA |