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Individual

CHARLOT GUENS LOUIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
AGACNP

Contact information

Practice address
1404 RIVER PL STE 501, BRASELTON, GA 30517-5600
(770) 534-2020
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN207604
GA

Other

Enumeration date
08/19/2016
Last updated
01/19/2024
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