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Individual

DR. PATRICK DANIEL GUIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1500 ROSS CLARK CIR, DOTHAN, AL 36301-4754
(334) 793-2663
(334) 836-2247
Mailing address
PO BOX 729, DOTHAN, AL 36302-0729
(334) 793-2663
(334) 836-2247

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
26478
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102736
AL
05
121893
AL
01
1437368065
MEDICARE ID
AL
01
510-40203
BCBS OF AL - RCC
AL
01
511-08334
BCBS OF AL - HEALTHWEST
AL
05
996749374A
GA
05
996749374B
GA
Enumeration date
05/21/2007
Last updated
11/20/2014
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