Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 222603 | MA |
Y | 111NI0900X | Internist | 222603 | MA |
N | 207R00000X | Internist | 227764 | MA |
N | 111NI0900X | Internist | 227764 | MA |
N | 207RN0300X | Nephrologist | 2009-00334 | NC |
N | 207RN0300X | Nephrologist | MD036700 | DC |
NPI | 1053388710 |
---|---|
Provider Name | Daqing Guo |
First Address | Roanoke Rapids, NC 27870-3168 |
Second Address | Roanoke Rapids, NC 27870-6420 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2006 |
Last Update Date | 01/07/2009 |