CHARLES GUILLAUME

LOGANVILLE, GA
NPI1114322419
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA  RN180218)
Enumeration Date2014-10-29
Last Update Date2021-11-03
Business Address
CHARLES GUILLAUME PMHNP-BC
500 PLANTATION PARK DR
LOGANVILLE, GA 30052-4144
Phone number: 678-344-8268
Mailing Address
CHARLES GUILLAUME PMHNP-BC
1637 ATHENS HWY
GRAYSON, GA 30017-1768
Phone number: 678-254-0917
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