Guevara-Nieto, Jesus David
Guevara-Nieto, Jesus David is an individual health care provider with primary practice located at 330 Turner Mccall Blvd Sw Suite 201, Rome GA 30165-5630. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Guevara-Nieto, Jesus David can be contacted via phone (706) 509-4340.Contact Information
Primary practice address
330 Turner Mccall Blvd Sw Suite 201
Rome GA 30165-5630
Phone: (706) 509-4340
Fax: (706) 291-2147
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 051942 | Georgia |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | D68405 | Maryland |
Profile Details
| NPI number | 1407966591 |
|---|---|
| LBN Legal business name | Guevara-Nieto, Jesus David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jul 21st, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407966591 | NPPES |
| Georgia | MEDICAID | 636426670A |
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