# DR BRADY GUILLORY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972231066
- **Authorized official:** BRADY K GUILLORY MD (MD/SOLE OWNER)
- **Authorized official phone:** (337) 356-3545

## Contact information

- **Practice address:** 600 BAYARD ST, NEW IBERIA, LA 70560-5734
- **Practice address phone:** (337) 365-3441
- **Mailing address:** 219 LAKESIDE DR, LAFAYETTE, LA 70508-7045
- **Mailing address phone:** (337) 356-3545

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/08/2022
- **Last updated:** 09/17/2024