Individual
GARETT G GUILBEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3704 NORTH BLVD, SUITE C, ALEXANDRIA, LA 71301-3658
(318) 443-4576
(318) 449-5579
Mailing address
3704 NORTH BLVD, SUITE C, ALEXANDRIA, LA 71301-3658
(318) 443-4576
(318) 449-5579
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1069238
AL
363A00000X
Physician Assistant
Primary
200564
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51534278
BCBS
AL
Enumeration date
09/21/2006
Last updated
04/09/2013
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