Provider Demographics
NPI:1346434792
Name:DONALD C. GUILD, M.D., J.D., PA
Entity Type:Organization
Organization Name:DONALD C. GUILD, M.D., J.D., PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:C
Authorized Official - Last Name:GUILD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:601-936-6781
Mailing Address - Street 1:3531 LAKELAND DRIVE
Mailing Address - Street 2:COMPLEX B SUITE 1040
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232-8839
Mailing Address - Country:US
Mailing Address - Phone:601-936-6781
Mailing Address - Fax:601-932-2898
Practice Address - Street 1:3531 LAKELAND DRIVE
Practice Address - Street 2:COMPLEX B SUITE 1040
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-8839
Practice Address - Country:US
Practice Address - Phone:601-936-6781
Practice Address - Fax:601-932-2898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-29
Last Update Date:2011-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS428946353BOtherBLUE CROSS
LA1561070Medicaid
MS06003827Medicaid
MS06003827Medicaid
MS428946353BOtherBLUE CROSS
262920998Medicare PIN