Provider Demographics
NPI:1295967966
Name:GUITEAU, JACFRANZ JACQUES (MD)
Entity type:Individual
Prefix:
First Name:JACFRANZ
Middle Name:JACQUES
Last Name:GUITEAU
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 1:330 23RD AVE N STE 130
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1536
Mailing Address - Country:US
Mailing Address - Phone:615-342-5626
Mailing Address - Fax:615-342-5635
Practice Address - Street 1:330 23RD AVE N STE 130
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1536
Practice Address - Country:US
Practice Address - Phone:615-342-5626
Practice Address - Fax:615-342-5635
Is Sole Proprietor?:No
Enumeration Date:2009-08-14
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME128645208600000X
TXN3061208600000X
TN58458208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery