MEDICARE: DR. CAROLYN ROGERS GUILLOUD M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	93720	SC
2	207R00000X	Internal Medicine Physician	227728	NC

General Provider Information

NPI Number	:	1356875058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAROLYN ROGERS GUILLOUD M.D.

Provider Business Mailing Address
First Line	:	1200 N ELM ST
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27401-1004
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 N ELM ST
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27401-1004
Country	:	US
Telephone Number	:	336-832-7272
Fax Number	:	336-832-8641

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2017
Last Update Date	:	12/29/2025

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Directions to “ DR. CAROLYN ROGERS GUILLOUD M.D.” Practice Location

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