Individual
DR. NICHOLE GUILLORY GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD/MPH
Contact information
Practice address
4225 LAPALCO BLVD, MARRERO, LA 70072-4338
(504) 371-9335
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.205883
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09974535
—
MS
05
—
2150332
—
LA
Enumeration date
04/08/2011
Last updated
08/31/2022
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