Provider Demographics
NPI:1841335031
Name:GEORGE A GUESS, MD, PC
Entity type:Organization
Organization Name:GEORGE A GUESS, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:A
Authorized Official - Last Name:GUESS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:434-823-1021
Mailing Address - Street 1:5380 GOLF DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CROZET
Mailing Address - State:VA
Mailing Address - Zip Code:22932-1512
Mailing Address - Country:US
Mailing Address - Phone:434-823-1021
Mailing Address - Fax:434-823-1637
Practice Address - Street 1:5380 GOLF DR
Practice Address - Street 2:SUITE 101
Practice Address - City:CROZET
Practice Address - State:VA
Practice Address - Zip Code:22932
Practice Address - Country:US
Practice Address - Phone:434-823-1021
Practice Address - Fax:434-823-1637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101027745261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC-81016Medicare UPIN