Gould, Bruce J

Gould, Bruce J is an individual health care provider with primary practice located at 340 Kennestone Hospital Blvd Ste 100 , Marietta GA 30060-1158. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Gould, Bruce J can be contacted via phone (770) 281-5100.

Contact Information

Primary practice address
340 Kennestone Hospital Blvd Ste 100 Marietta GA 30060-1158
Phone: (770) 281-5100
Fax: (678) 581-7100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 032740 Georgia

Profile Details

NPI number 1326042706
LBN Legal business name Gould, Bruce J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Jun 10th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326042706 NPPES
Georgia MEDICAID 00416424C
Georgia MEDICAID 00416424F
Georgia MEDICAID 00416424A
Georgia MEDICAID 00416424B
Georgia MEDICAID 00416424D
Georgia MEDICAID 00416424E
Georgia Other 1326042706

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