Doctor Name: | DR. GEORGE BRYAN SINGLETARY |
NPI Number: | 1184823270 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD204342 |
Business Practice Address: | 3201 Wall Blvd Gretna, LA - 700567755 |
Business Phone Number: | 5043931515 |
Business Fax Number: | |
Mailing Address: | 7622 Birch St, NEW ORLEANS |
State: | LA |
Postal Code: | 701184149 |
Phone Number: | 5044443901 |
Fax Number: | |
NPI Enumeration Date: | 07/17/2007 |
NPI Last Update Date: | 01/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD204342 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |