Individual
JEREMY GUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
145 KIMEL PARK DR STE 120, WINSTON SALEM, NC 27103-6983
(336) 768-3212
Mailing address
145 KIMEL PARK DR STE 120, WINSTON SALEM, NC 27103-6983
(336) 768-3212
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2019-00494
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
Other
Enumeration date
04/13/2015
Last updated
07/06/2020
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