Search › Georgia › 363A00000X
Jose Guillen, PA-C
NPI 1639524333 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1715 Childerlee Ln Ne
Atlanta, GA 30329 - Phone
- (503) 442-7307
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-05-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia