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Organization

GEORGE S. BOURGEOIS MD APMC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GEORGE S BOURGEOIS MD (OWNER)
(337) 942-5384
Entity
Organization

Contact information

Practice address
519 E PRUDHOMME ST, OPELOUSAS, LA 70570-6499
(337) 942-5384
(337) 942-5301
Mailing address
519 E PRUDHOMME ST, OPELOUSAS, LA 70570-6499
(337) 942-5384
(337) 942-5301

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7041
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1014834
LA
Enumeration date
10/26/2007
Last updated
05/26/2009
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