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Organization

CESAR ENRIQUE GUERRERO MD FAAD PA

Active
Other names
Grenada Dermatology
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CESAR E GUERRERO MD (CEO)
(662) 307-9030
Entity
Organization

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
(662) 307-9038

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
207ND0900X
Dermatopathology Physician
207NS0135X
Procedural Dermatology Physician

Other

Enumeration date
08/17/2021
Last updated
09/06/2023
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