Guillermo Alberto Mantilla M.D.

NPI 1326234816 - Hospitalist - 208M00000X

NPI Details
NPI 1326234816
Gender Male
Enumeration Date 09/19/2007
Last Updated 05/15/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
1 MEDICAL CENTER BLVD
SUITE 103
COOKEVILLE TN, 38501-4294, US
Phone (931) 783-2770
Fax (931) 525-1176
Business Location
127 N OAK AVE
SUITE D
COOKEVILLE TN, 38501-2435, US
Phone (931) 783-5857
Fax (931) 526-6760
Toxanomy
Taxonomy Code 208M00000X
License State Tennessee
License Number 42647
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According to our database, Guillermo Alberto Mantilla M.D. NPI is 1326234816, taxonomy code is 208M00000X and license number is 42647, license state is located at Tennessee. Guillermo Alberto Mantilla M.D. physically located at 1 Medical Center Blvd, Cookeville TN, 38501-4294. NPI Number Guillermo Alberto Mantilla M.D. has the Individual type.

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1326234816 NPI number is provided on an as is basis without warranty of any kind. 1326234816 is maintained by the National Plan & Provider Enumeration System. The contents of Guillermo Alberto Mantilla M.D. are for informational purposes only.