Individual
GEORGE MOORE GILLY JR.
Active
Individual
GEORGE MOORE GILLY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD.203887
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06007059
—
MS
05
—
1941573
—
LA
Enumeration date
03/20/2009
Last updated
11/07/2014
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