Doctor Name: | DR. JESSICA LEIGH GUIDICI |
NPI Number: | 1427439777 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 209575 |
Business Practice Address: | Unc Med Peds Residency Program 230 Macnider; Cb# 7593 Chapel Hill, NC - 275990001 |
Business Phone Number: | 9199666770 |
Business Fax Number: | |
Mailing Address: | 1418 Village Crossing Dr, CHAPEL HILL |
State: | NC |
Postal Code: | 275177574 |
Phone Number: | 9192808043 |
Fax Number: | |
NPI Enumeration Date: | 06/12/2015 |
NPI Last Update Date: | 06/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 209575 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |