Provider Demographics
NPI:1811342454
Name:GUIDA, CAMERON TYLER (DC)
Entity type:Individual
Prefix:DR
First Name:CAMERON
Middle Name:TYLER
Last Name:GUIDA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1064 HIGHWAY 417
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:SC
Mailing Address - Zip Code:29369-9220
Mailing Address - Country:US
Mailing Address - Phone:404-304-9274
Mailing Address - Fax:
Practice Address - Street 1:579 HAYWOOD RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-2710
Practice Address - Country:US
Practice Address - Phone:404-304-9274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-02
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4125111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor