Individual
DR. JACQUES L GUILLOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1970 N HIGHWAY 190, COVINGTON, LA 70433-5158
(985) 400-5988
(985) 867-3644
Mailing address
PO BOX 3370, COVINGTON, LA 70434-3370
(985) 400-5988
(985) 867-3644
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
09244R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07735396
—
MS
05
—
1986925
—
LA
Enumeration date
08/31/2006
Last updated
03/21/2017
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