Provider Demographics
NPI:1417900234
Name:MACLANG, GUY RUEDAS (MD)
Entity Type:Individual
Prefix:DR
First Name:GUY
Middle Name:RUEDAS
Last Name:MACLANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 15849
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31416-2549
Mailing Address - Country:US
Mailing Address - Phone:912-303-3552
Mailing Address - Fax:912-303-3506
Practice Address - Street 1:5354 REYNOLDS ST STE 424
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-6011
Practice Address - Country:US
Practice Address - Phone:912-819-5999
Practice Address - Fax:912-819-5980
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA57534207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC189912OtherMEDCOST ID
NC7681859OtherAETNA ID
NC6149376OtherCIGNA ID
NC89011C5Medicaid
NC5703177OtherFIRST HEALTH ID
NC142TUOtherBC/BS ID
NC7681859OtherAETNA ID
NC142TUMedicare UPIN
NC6149376OtherCIGNA ID