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NPI Code Detail

MEDICARE: WILLIAM A GUEST MD

MEDICARE: WILLIAM A GUEST MD
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
1207RP1001XPulmonary Disease Physician23975GA

General Provider Information

NPI Number : 1003819467
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM A GUEST MD
Provider Business Mailing Address
First Line : 901 18TH ST E
Second Line :
City : TIFTON
State : GA
Zip : 31794-3648
Country : US
Telephone Number : 229-353-3400
Fax Number : 229-391-3332
Provider Business Practice Location Address
First Line : 901 18TH ST E
Second Line :
City : TIFTON
State : GA
Zip : 31794-3648
Country : US
Telephone Number : 229-353-3400
Fax Number : 229-391-3332
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 06/18/2015

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Directions to “ WILLIAM A GUEST MD” Practice Location

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