Individual
DR. GEORGE ROBERT MERRIMAN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
949 OLIVE ST, SHREVEPORT, LA 71104-2103
(318) 222-3132
(318) 222-3865
Mailing address
949 OLIVE ST, SHREVEPORT, LA 71104-2103
(318) 222-3132
(318) 222-3865
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
09092R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1931322
—
LA
Enumeration date
06/20/2006
Last updated
02/19/2020
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