| George S. Bourgeois Md Apmc | |
|
519 E Prudhomme St Opelousas LA 70570-6499 | |
| (337) 942-5384 | |
| (337) 942-5301 |
| Full Name | George S. Bourgeois Md Apmc |
|---|---|
| Speciality | Internal Medicine |
| Location | 519 E Prudhomme St, Opelousas, Louisiana |
| Authorized Official Name and Position | George S Bourgeois (OWNER) |
| Authorized Official Contact | 3379425384 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| George S. Bourgeois Md Apmc 519 E Prudhomme St Opelousas LA 70570-6499 Ph: (337) 942-5384 | George S. Bourgeois Md Apmc 519 E Prudhomme St Opelousas LA 70570-6499 Ph: (337) 942-5384 |
| NPI Number | 1245419290 |
|---|---|
| Provider Enumeration Date | 10/26/2007 |
| Last Update Date | 05/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245419290 | NPI | - | NPPES |
| 1014834 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 7041 (Louisiana) | Primary |
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