Individual
CHARLES D GUESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 BROOKS AVENUE, PELAHATCHIE, MS 39145-3092
(601) 854-6805
(601) 854-6813
Mailing address
PO BOX 24116, JACKSON, MS 39225-4116
(601) 825-7280
(601) 825-8130
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05441
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09011146
—
MS
Enumeration date
11/14/2006
Last updated
11/03/2011
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