Individual
DR. BRYANT GERARD GEORGE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 FOSTER ST, LAKE CHARLES, LA 70601-5815
(337) 436-7560
(337) 433-9861
Mailing address
PO BOX 62600, DEPT 1453, NEW ORLEANS, LA 70162-2600
(337) 436-7560
(337) 433-9861
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
018940
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1378356
—
LA
Enumeration date
12/05/2006
Last updated
03/05/2009
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