Healthcare Provider Details

I. General information

NPI: 1841466422
Provider Name (Legal Business Name): JOY IMPERIAL DE GUZMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2008
Last Update Date: 06/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 SWEETEN CREEK RD
ASHEVILLE NC
28803-2318
US

IV. Provider business mailing address

PO BOX 751848
CHARLOTTE NC
28275-1848
US

V. Phone/Fax

Practice location:
  • Phone: 828-277-4800
  • Fax: 828-277-4890
Mailing address:
  • Phone: 828-274-6190
  • Fax: 828-277-4890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number247894
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number2010-00975
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: