MEDICARE: DR. DAVID MARSHALL GUIDOT 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
1	207RP1001X	Pulmonary Disease Physician	039809	GA

General Provider Information

NPI Number	:	1144258369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID MARSHALL GUIDOT MD

Provider Business Mailing Address
First Line	:	615 MICHAEL ST NE
Second Line	:	SUITE 205-M
City	:	ATLANTA
State	:	GA
Zip	:	30322-1047
Country	:	US
Telephone Number	:	404-712-2973
Fax Number	:	404-712-2974

Provider Business Practice Location Address
First Line	:	615 MICHAEL ST NE
Second Line	:	SUITE 205-M
City	:	ATLANTA
State	:	GA
Zip	:	30322-1047
Country	:	US
Telephone Number	:	404-712-2973
Fax Number	:	404-712-2974

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	01/04/2011

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