Individual
DR. GEORGE A. MAMPILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1214 COOLIDGE BLVD, LAFAYETTE, LA 70503-2621
(337) 261-5151
Mailing address
PO BOX 53847, LAFAYETTE, LA 70505-3847
(337) 261-5151
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
11245R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1666424
—
LA
Enumeration date
10/04/2005
Last updated
03/10/2008
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