Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0102X | Surgical Critical Care | 55839 | TN |
Y | 2086S0127X | Trauma Surgeon | 55839 | TN |
NPI | 1366766982 |
---|---|
Provider Name | Christopher Aaron Guidry |
First Address | Charlottesville, VA 22908-0136 |
Second Address | Nashville, TN 37232 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2010 |
Last Update Date | 24/07/2018 |