Provider Demographics
NPI:1386897296
Name:THOMAS S. GUILLOT, JR. MD APMC
Entity type:Organization
Organization Name:THOMAS S. GUILLOT, JR. MD APMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PLASTIC SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:S
Authorized Official - Last Name:GUILLOT
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:225-769-2955
Mailing Address - Street 1:7777 HENNESSY BLVD
Mailing Address - Street 2:MEDICAL PLAZA II, STE. 6001
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-4300
Mailing Address - Country:US
Mailing Address - Phone:225-769-2955
Mailing Address - Fax:225-769-4908
Practice Address - Street 1:7777 HENNESSY BLVD
Practice Address - Street 2:MEDICAL PLAZA II, STE. 6001
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4300
Practice Address - Country:US
Practice Address - Phone:225-769-2955
Practice Address - Fax:225-769-4908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-23
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA015270174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty