Individual
GUILLAUME J PINGUET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4760 AUSTELL RD STE A, AUSTELL, GA 30106-2007
(786) 704-1373
Mailing address
52 NW 47TH ST, MIAMI, FL 33127-2408
(786) 704-1373
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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