Individual
DR. RICHARD J GUILLOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
152 MEMORIAL CT, JACKSONVILLE, NC 28546-6322
(910) 346-3976
(910) 353-0600
Mailing address
PO BOX 986513, DEPT 100, BOSTON, MA 02298-6513
(910) 219-8326
(910) 939-4269
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
020599
LA
207K00000X
Allergy & Immunology Physician
Primary
2021-01998
NC
208D00000X
General Practice Physician
2021-01998
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164490330
—
NC
05
—
1905445
—
LA
Enumeration date
03/14/2006
Last updated
11/03/2023
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