Provider Demographics
NPI:1174766240
Name:ESHELMAN, GUY R JR (MD)
Entity type:Individual
Prefix:DR
First Name:GUY
Middle Name:R
Last Name:ESHELMAN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AEP 58
Mailing Address - Street 2:KP 119
Mailing Address - City:TIRANA
Mailing Address - State:ALBANIA
Mailing Address - Zip Code:119
Mailing Address - Country:AL
Mailing Address - Phone:35569-223-4539
Mailing Address - Fax:
Practice Address - Street 1:AEP 58
Practice Address - Street 2:KP 119
Practice Address - City:TIRANA
Practice Address - State:ALBANIA
Practice Address - Zip Code:119
Practice Address - Country:AL
Practice Address - Phone:35569-223-4539
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-20
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD042067E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine