| Doctor Name: | JIMMY NOOE GUIDRY |
| NPI Number: | 1548253016 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 014578 |
| Business Practice Address: | 8742 Goodwood Blvd Baton Rouge, LA - 708067915 |
| Business Phone Number: | 2252317070 |
| Business Fax Number: | 2252317069 |
| Mailing Address: | 9233 N Berkley Hills Dr, BATON ROUGE |
| State: | LA |
| Postal Code: | 708092470 |
| Phone Number: | 2253423417 |
| Fax Number: | 2253424497 |
| NPI Enumeration Date: | 08/30/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 014578 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |