# MR. GEORGE DEMETRIOS FIVGAS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1790787448
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 041428 | GA | — |
| 207W00000X | Ophthalmology Physician | 13263R | LA | — |
| 207W00000X | Ophthalmology Physician | MD13263R | LA | Yes |

## Other

- **Enumeration date:** 08/12/2005
- **Last updated:** 02/26/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1430315 | — | LA |