Provider Demographics
NPI:1174577837
Name:GUITERAS, GEORGE PATRICK (MD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:PATRICK
Last Name:GUITERAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:120 CONNER DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-7092
Mailing Address - Country:US
Mailing Address - Phone:919-967-8130
Mailing Address - Fax:919-967-3627
Practice Address - Street 1:120 CONNER DR
Practice Address - Street 2:SUITE 200
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-7092
Practice Address - Country:US
Practice Address - Phone:919-967-8130
Practice Address - Fax:919-967-3627
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2009-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16375207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
0153819OtherUNITED HEALTHCARE
NC6411OtherWELLPATH
4326594OtherAETNA
NC8937862Medicaid
080102450OtherRAILROAD MEDICARE
NC37862OtherBCBS
4326594OtherAETNA
206870AMedicare ID - Type Unspecified