Gouldman, John W
Gouldman, John W is an individual health care provider with primary practice located at 960 Johnson Ferry Rd Ste 100, Atlanta GA 30342-1631. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Gouldman, John W can be contacted via phone (404) 252-9063.Contact Information
Primary practice address
960 Johnson Ferry Rd Ste 100
Atlanta GA 30342-1631
Phone: (404) 252-9063
Fax: (404) 252-0873
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 049140 | Georgia |
Profile Details
| NPI number | 1871511071 |
|---|---|
| LBN Legal business name | Gouldman, John W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Aug 7th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871511071 | NPPES |
| Georgia | MEDICAID | 185589743F | |
| Georgia | MEDICAID | 185589743A | |
| Georgia | MEDICAID | 185589743C |
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