Individual
DR. LUIS RAFAEL MARIN GUILLENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
15689 US HIGHWAY 19 N, THOMASVILLE, GA 31792-2622
(229) 225-3912
Mailing address
15689 US HIGHWAY 19 N, THOMASVILLE, GA 31792-2622
(229) 225-3912
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
16-596
FL
363A00000X
Physician Assistant
Primary
2887
PR
Other
Enumeration date
12/30/2016
Last updated
12/31/2025
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