Individual
DR. CESAR ENRIQUE GUERRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 S MAIN ST, GRENADA, MS 38901-2620
(662) 307-9030
(662) 307-9038
Mailing address
80 S MAIN ST, GRENADA, MS 38901-2620
(662) 307-9030
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
29717
MS
207N00000X
Dermatology Physician
56136
TN
207ND0101X
MOHS-Micrographic Surgery Physician
29717
MS
207ND0900X
Dermatopathology Physician
261924
NY
207ND0900X
Dermatopathology Physician
29717
MS
207ND0900X
Dermatopathology Physician
56136
TN
207ND0900X
Dermatopathology Physician
MD.32613
AL
207ND0900X
Dermatopathology Physician
ME116247
FL
207NS0135X
Procedural Dermatology Physician
29717
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29717
MISSISSIPPI STATE MEDICAL LICENSE
MS
01
—
56136
TENNESSEE
TN
Enumeration date
04/18/2011
Last updated
05/07/2023
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