Individual
GUILOUSE JEAN-BATAILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
304 TURNER MCCALL BLVD SW, ROME, GA 30165-5621
(678) 650-2099
Mailing address
PO BOX 39, DALLAS, GA 30132-0001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F03190125
GA
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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