Organization
DR BRADY GUILLORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADY K GUILLORY MD (MD/SOLE OWNER)
(337) 356-3545
Entity
Organization
Contact information
Practice address
600 BAYARD ST, NEW IBERIA, LA 70560-5734
(337) 365-3441
Mailing address
219 LAKESIDE DR, LAFAYETTE, LA 70508-7045
(337) 356-3545
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/08/2022
Last updated
09/17/2024
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