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Individual

RENE GUILD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP-BC, CDE

Contact information

Practice address
165 BLUE RIDGE OVERLOOK, BLUE RIDGE, GA 30513-4431
(706) 946-4647
(706) 374-7628
Mailing address
165 BLUE RIDGE OVERLOOK, BLUE RIDGE, GA 30513-4431
(706) 946-5600
(706) 374-7628

Taxonomy

Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
RN078829NP
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000843785H
GA
01
202I503048
MEDICARE PTAN
GA
01
GRP 1855
MEDICARE GROUP PTAN
01
RN078829NP
NURSE PRACTITIONER LIC.
GA
Enumeration date
09/27/2005
Last updated
03/07/2023
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