Healthcare Provider Details

I. General information

NPI: 1841335031
Provider Name (Legal Business Name): GEORGE A GUESS, MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 07/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5380 GOLF DR SUITE 101
CROZET VA
22932
US

IV. Provider business mailing address

5380 GOLF DR SUITE 101
CROZET VA
22932-1512
US

V. Phone/Fax

Practice location:
  • Phone: 434-823-1021
  • Fax: 434-823-1637
Mailing address:
  • Phone: 434-823-1021
  • Fax: 434-823-1637

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number0101027745
License Number StateVA

VIII. Authorized Official

Name: DR. GEORGE A GUESS
Title or Position: PRESIDENT
Credential: MD
Phone: 434-823-1021