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Individual

DR. CAMERON S GUILD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
501 MARSHALL ST STE 104, JACKSON, MS 39202-1663
(601) 969-6404
Mailing address
PO BOX 2153 DEPT 1947, BIRMINGHAM, AL 35287-0002
(601) 992-5532

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
19382
MS
207RI0011X
Interventional Cardiology Physician
Primary
19382
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05223367
MS
05
1455687
LA
01
7530834
AETNA
MS
01
P00350227
RAILROAD MEDICARE
MS
01
P00462208
RAILROAD MEDICARE PTAN
MS
01
P01228851
RR MEDICARE PTAN
MS
Enumeration date
06/23/2006
Last updated
05/02/2019
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