Individual
DR. BRIAN ALAN GUILLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 LAKEVIEW DR STE 200, COVINGTON, LA 70433-7511
(985) 898-1940
(985) 809-0425
Mailing address
110 LAKEVIEW DR STE 200, COVINGTON, LA 70433-7511
(985) 273-3000
(985) 809-0425
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
020197
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1929441
—
LA
01
—
G3579
BLUE CROSS/BLUE SHIELD
LA
Enumeration date
02/03/2006
Last updated
01/15/2020
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