Individual
PAUL CHARLES GUICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
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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