Individual
JOEY ADAM GUILLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
105 PATRIOT ST, STE 101, LAFAYETTE, LA 70508-6831
(337) 534-0653
Mailing address
105 PATRIOT ST, STE 101, LAFAYETTE, LA 70508-6831
(318) 201-5639
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200741
LA
Other
Enumeration date
09/26/2014
Last updated
05/23/2016
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