Provider Demographics
NPI:1720020415
Name:GUEST, CHRIS WARREN (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:WARREN
Last Name:GUEST
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:102 POMONA DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-1616
Mailing Address - Country:US
Mailing Address - Phone:336-299-0000
Mailing Address - Fax:336-299-2335
Practice Address - Street 1:102 POMONA DR
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-1616
Practice Address - Country:US
Practice Address - Phone:336-299-0000
Practice Address - Fax:336-299-2335
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21565207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC37874OtherBLUE CROSS BLUE SHIELD
NC0100082OtherUNITED HEALTHCARE
NC110140709OtherRAILROAD MEDICARE
NC24714OtherMEDCOST, LLC
NC4466864OtherAETNA
NC8937874Medicaid
NC4808302OtherCIGNA
NCC81183Medicare UPIN
NC24714OtherMEDCOST, LLC