Individual
JOSE LUIS GUZMAN FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1107 MEMORIAL DR, FAMILY MEDICINE CLINIC, SUITE G2, DALTON, GA 30720
(706) 686-8015
(706) 686-8221
Mailing address
1200 MEMORIAL DRIVE, DALTON, GA 30720
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
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