Individual provider · Type 1 NPI

Jose Luis Guzman Fuentes, MD

Student in an Organized Health Care Education/Training Program · Dalton, GA

NPI number 1083540108 Active

Practice location

1107 Memorial Dr, Family Medicine Clinic, Suite G2
Dalton, GA 30720

Call (706) 686-8015 Map

Fax (706) 686-8221

Mailing address

1200 Memorial Drive
Dalton, GA 30720

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1083540108

Jose Luis Guzman Fuentes, MD's National Provider Identifier is 1083540108, issued on Jun 18, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dalton, GA. The record was last updated on Jun 18, 2026.