| Doctor Name: | DANIELA GUILLIAM |
| NPI Number: | 1245487800 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 258842 |
| Business Practice Address: | 3875 Austell Rd Suite 204 Austell, GA - 301061103 |
| Business Phone Number: | 7709443616 |
| Business Fax Number: | |
| Mailing Address: | 3875 Austell Rd, Suite 204 AUSTELL |
| State: | GA |
| Postal Code: | 301061103 |
| Phone Number: | 7708191717 |
| Fax Number: | |
| NPI Enumeration Date: | 08/25/2008 |
| NPI Last Update Date: | 12/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 258842 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |