Individual
MR. GEORGE DEMETRIOS FIVGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7777 HENNESSY BLVD, STE 3000, BATON ROUGE, LA 70808
(225) 768-9300
(225) 768-9363
Mailing address
7777 HENNESSY BLVD, STE 3000, BATON ROUGE, LA 70808
(225) 768-9300
(225) 768-9363
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
041428
GA
207W00000X
Ophthalmology Physician
13263R
LA
207W00000X
Ophthalmology Physician
Primary
MD13263R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1430315
—
LA
Enumeration date
08/12/2005
Last updated
02/26/2008
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