SearchGeorgia156FX1800X

Simon Guzman, LDO

NPI 1790509644 · on the registry since 2024

Practice

Address
450 Jessica Way
Athens, GA 30606
Phone
(626) 226-6992

Registry record

Primary taxonomy
156FX1800X
156FX1800X
Also registered as
156FC0800X
156FX1100X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-11-07

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