Individual
RAQUEL P DEGUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 741-7241
(478) 745-8932
Mailing address
657 HEMLOCK ST, SUITE 220, MACON, GA 31201-8329
(478) 741-7241
(478) 745-8932
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
066021
GA
208M00000X
Hospitalist Physician
066021
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003112187
—
GA
Enumeration date
06/30/2008
Last updated
05/17/2012
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