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Individual

CAROLINE N/A GUAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C-AA

Contact information

Practice address
1377 DRESDEN DR NE APT 5117, BROOKHAVEN, GA 30319-3457
(678) 314-4302
Mailing address
1377 DRESDEN DR NE APT 5117, BROOKHAVEN, GA 30319-3457
(678) 314-4302

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary

Other

Enumeration date
09/11/2020
Last updated
09/23/2020
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