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CHARLES PEGUY GUILLAUME

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
3991 HIGHWAY 78 W STE 203, SNELLVILLE, GA 30039-3929
(770) 978-9393
(770) 978-9324
Mailing address
3991 HIGHWAY 78 W STE 203, SNELLVILLE, GA 30039-3929
(770) 978-9393
(770) 978-9324

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN180218
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN-NP180218
GA

Other

Enumeration date
10/29/2014
Last updated
10/23/2025
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