Individual
PAUL CHARLES GUICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
55 WHITCHER ST NE, SUITE 350, MARIETTA, GA 30060-1155
(770) 424-6893
(770) 528-9938
Mailing address
55 WHITCHER ST NE, SUITE 350, MARIETTA, GA 30060-1155
(770) 424-6893
(770) 528-9938
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
54386
GA
207RI0011X
Interventional Cardiology Physician
Primary
54386
GA
207UN0901X
Nuclear Cardiology Physician
54386
GA
207UN0902X
Nuclear Imaging & Therapy Physician
54386
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
579075630R
—
GA
05
—
579075630S
—
GA
05
—
579075630T
—
GA
05
—
579075630U
—
GA
05
—
579075630V
—
GA
05
—
579075630X
—
GA
Enumeration date
10/20/2005
Last updated
10/10/2019
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