Individual
MR. DAVID JUSTIN GUTHRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CRNA
Contact information
Practice address
3655 MITCHELL ST, LORIS, SC 29569-2827
(562) 547-7067
Mailing address
131 WILDBERRY LN, GOOSE CREEK, SC 29445-7751
(562) 547-7067
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
212780
SC
163W00000X
Registered Nurse
217687
GA
163W00000X
Registered Nurse
587902
PA
163W00000X
Registered Nurse
715344
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
18735
SC
Other
Enumeration date
01/14/2014
Last updated
03/17/2014
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