Juan C Guarderas, MD
Allergy & Immunology in Valdosta, GA. Individual provider (NPI-1).
NPI number1902893290
StatusActive
Last updated in NPPESAug 11, 2022
Details
- NPI
- 1902893290
- Entity type
- Individual (NPI-1)
- Name
- Juan C Guarderas
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 1, 2005
- Certification date
- Aug 11, 2022
- Last updated
- Aug 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207K00000X | Allergy & Immunology | 80320 | GA | Yes |
| 207KA0200X | Allergy & Immunology, Allergy | 80320 | GA | |
| 207K00000X | Allergy & Immunology | ME62732 | FL |
Practice location
3334 Greystone WayValdosta, GA 31605-1096
Phone 229-247-1667 · Fax 229-245-7661
Mailing address
Po Box 3068Valdosta, GA 31604-3068
Phone 229-247-1667 · Fax 229-245-7661
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.