Individual
DR. MAX GUCILATAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51 OFFICE PARK DR, JACKSONVILLE, NC 28546-7327
(910) 577-5199
(910) 577-3424
Mailing address
51 OFFICE PARK DR, JACKSONVILLE, NC 28546-7327
(910) 577-5199
(910) 577-3424
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
39507
KY
208000000X
Pediatrics Physician
Primary
2010-01364
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64109705
—
KY
Enumeration date
02/10/2006
Last updated
10/14/2010
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