MEDICARE: MR. ERIC RAUL GUERRA 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	207RI0011X	Interventional Cardiology Physician	70754	GA
2	207RI0011X	Interventional Cardiology Physician	MD29590	TN

General Provider Information

NPI Number	:	1801863105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ERIC RAUL GUERRA MD

Provider Business Mailing Address
First Line	:	PO BOX 12938
Second Line	:	C/O CLINIC MANAGEMENT
City	:	CALHOUN
State	:	GA
Zip	:	30703
Country	:	US
Telephone Number	:	706-602-7800
Fax Number	:

Provider Business Practice Location Address
First Line	:	1504 N THORNTON AVE STE 106
Second Line	:
City	:	DALTON
State	:	GA
Zip	:	30720-8394
Country	:	US
Telephone Number	:	706-602-3215
Fax Number	:	423-476-4487

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

Provider Enumeration Date	:	03/06/2006
Last Update Date	:	01/22/2025

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