Healthcare Provider Details

I. General information

NPI: 1396061669
Provider Name (Legal Business Name): DANIEL A GUILES MD, MPHTM, CTROPMED
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2010
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

980 ROWLAND ST # 4190
CLARKSTON GA
30021-2203
US

IV. Provider business mailing address

980 ROWLAND ST # 4190
CLARKSTON GA
30021-2203
US

V. Phone/Fax

Practice location:
  • Phone: 470-799-0044
  • Fax:
Mailing address:
  • Phone: 470-799-0044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number103444
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number103444
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: