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Billy Gully
NPI 1760914071 · on the registry since 2017 · sole proprietor
Practice
- Address
- 3201 Knight St Apt 207
Shreveport, LA 71105 - Phone
- (318) 560-2732
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-03-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana