Provider Demographics
NPI:1093752701
Name:GUERRA, JULIO C (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIO
Middle Name:C
Last Name:GUERRA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1102 FOXWOOD DR
Mailing Address - Street 2:SUITE 31
Mailing Address - City:SEVIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37862-9365
Mailing Address - Country:US
Mailing Address - Phone:865-453-7717
Mailing Address - Fax:865-428-8933
Practice Address - Street 1:1102 FOXWOOD DR
Practice Address - Street 2:SUITE 31
Practice Address - City:SEVIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37862-9365
Practice Address - Country:US
Practice Address - Phone:865-453-7717
Practice Address - Fax:865-428-8933
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-01
Last Update Date:2010-05-12
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Provider Licenses
StateLicense IDTaxonomies
TN022020207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNF28048Medicare UPIN