Provider Demographics
NPI:1184886483
Name:DEGUEURCE, JAMES CLAUDIUS III (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:CLAUDIUS
Last Name:DEGUEURCE
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4927 CAMP JOY RD
Mailing Address - Street 2:
Mailing Address - City:HAUGHTON
Mailing Address - State:LA
Mailing Address - Zip Code:71037-8676
Mailing Address - Country:US
Mailing Address - Phone:318-987-0499
Mailing Address - Fax:318-987-2521
Practice Address - Street 1:4927 CAMP JOY RD
Practice Address - Street 2:
Practice Address - City:HAUGHTON
Practice Address - State:LA
Practice Address - Zip Code:71037-8676
Practice Address - Country:US
Practice Address - Phone:318-987-0499
Practice Address - Fax:318-987-2521
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-27
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA011893207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology