Provider Demographics
NPI:1093093700
Name:GUESS, GEORGE ALBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:ALBERT
Last Name:GUESS
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 1:5380 GOLF DRIVE
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:22932-1512
Practice Address - Country:US
Practice Address - Phone:434-823-1021
Practice Address - Fax:434-823-1637
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-29
Last Update Date:2011-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101027745207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine