# GG MEDICAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376130849
- **Authorized official:** THARWAT GHATTAS MD (OWNER)
- **Authorized official phone:** (318) 207-3206

## Contact information

- **Practice address:** 4900 MEDICAL DR, BOSSIER CITY, LA 71112-4521
- **Practice address phone:** (318) 747-9500
- **Mailing address:** PO BOX 52133, SHREVEPORT, LA 71135-2133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/30/2020
- **Last updated:** 02/25/2021