Individual
GEORGE GOLIGHTLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9001 SUMMA AVE, BATON ROUGE, LA 70809-3726
(225) 761-5200
(225) 761-5549
Mailing address
9001 SUMMA AVE, BATON ROUGE, LA 70809-3726
(225) 761-5200
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
L1363R
LA
208600000X
Surgery Physician
Primary
MD13630R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04205743
—
MS
05
—
1431460
—
LA
Enumeration date
07/07/2006
Last updated
01/12/2015
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