Individual
MR. GEORGE B INGRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 FOURTH ST, SUITE 4B, ALEXANDRIA, LA 71301
(318) 449-8600
(318) 449-1461
Mailing address
201 4TH ST, BOX 30127, ALEXANDRIA, LA 71301-8421
(318) 449-8600
(318) 449-1461
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
021713
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070013396
RAILROAD MEDICARE
LA
05
—
1480126
—
LA
Enumeration date
07/26/2006
Last updated
12/02/2013
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