Individual
MR. GREGORY BERNADAS GUINOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3778 HWY 42, LOCUST GROVE, GA 30248-3632
(678) 610-6649
Mailing address
292 SUNDERLAND WAY, STOCKBRIDGE, GA 30281-7955
(678) 565-5147
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN210215
GA
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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