Provider Demographics
NPI:1043514839
Name:CERILLI, GUIDO JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:GUIDO
Middle Name:JAMES
Last Name:CERILLI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 BRAMS POINT RD
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD
Mailing Address - State:SC
Mailing Address - Zip Code:29926-2050
Mailing Address - Country:US
Mailing Address - Phone:843-689-2338
Mailing Address - Fax:
Practice Address - Street 1:12 BRAMS POINT RD
Practice Address - Street 2:
Practice Address - City:HILTON HEAD
Practice Address - State:SC
Practice Address - Zip Code:29926-2050
Practice Address - Country:US
Practice Address - Phone:843-689-2338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-07
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10250204F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCRENAL12OtherNONE DONT BILL