Individual
DIXIE GUILLOT CLEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4218 HIGHWAY 1192, MARKSVILLE, LA 71351-4710
(318) 240-1959
Mailing address
PO BOX 1140, MARKSVILLE, LA 71351-1140
(318) 253-6016
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200235
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1066648
—
LA
Enumeration date
04/18/2007
Last updated
10/30/2012
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