Organization
SURGASSIST OF SHREVEPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE MERRIMAN MD (OWNER)
(318) 222-3132
Entity
Organization
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
363AS0400X
Surgical Physician Assistant
Primary
PA.200749
LA
Other
Enumeration date
06/15/2015
Last updated
07/27/2016
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