Individual
DR. GUILLERMO R SAURINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2301 N ASHLEY ST, VALDOSTA, GA 31602-2620
(229) 245-0666
Mailing address
2301 N ASHLEY ST, VALDOSTA, GA 31602-2620
(229) 245-0666
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
48570
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000876565A
—
GA
05
—
262103700
—
FL
Enumeration date
03/21/2006
Last updated
03/07/2011
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