Individual
RICHARD A GUERRESO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2014 LAWRENCEVILLE SUWANEE RD, SUWANEE, GA 30024-2625
(770) 995-6789
(770) 995-7832
Mailing address
2014 LAWRENCEVILLE SUWANEE RD, SUWANEE, GA 30024-2625
(770) 995-6789
(770) 995-7832
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5049
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
502606
BCBS OF GA
—
01
—
5049
GA LISCENSE #
—
Enumeration date
11/09/2006
Last updated
09/20/2011
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