Individual
JESUS DAVID GUEVARA-NIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 TURNER MCCALL BLVD SW, SUITE 201, ROME, GA 30165-5630
(706) 509-4340
(706) 291-2147
Mailing address
330 TURNER MCCALL BLVD SW, SUITE 201, ROME, GA 30165-5630
(706) 509-4340
(706) 291-2147
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
051942
GA
208M00000X
Hospitalist Physician
Primary
D68405
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
636426670A
—
GA
Enumeration date
08/30/2006
Last updated
07/21/2017
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