Healthcare Provider Details

I. General information

NPI: 1568886927
Provider Name (Legal Business Name): AILEEN JOANNA GUERRERO LITWIN D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2014
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2009 OLD LAFAYETTE RD
FORT OGLETHORPE GA
30742-3510
US

IV. Provider business mailing address

13570 N MAIN ST
TRENTON GA
30752-2012
US

V. Phone/Fax

Practice location:
  • Phone: 706-866-5520
  • Fax: 706-657-2958
Mailing address:
  • Phone: 706-956-2665
  • Fax: 706-657-2958

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4340
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: