Individual
DR. THOMAS JAMES GULLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
309 JACKSON ST, MONROE, LA 71201-7407
(318) 966-4541
(319) 966-4543
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(318) 966-4541
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
17828
LA
208M00000X
Hospitalist Physician
MD.017828
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09333871
—
MS
05
—
1384810
—
LA
Enumeration date
12/29/2006
Last updated
08/08/2022
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