Gouse, John Conrad
Gouse, John Conrad is an individual health care provider with primary practice located at 7505 Waters Ave Suite C8, Savannah GA 31406-3825. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Gouse, John Conrad can be contacted via phone (912) 352-2606.Contact Information
Primary practice address
7505 Waters Ave Suite C8
Savannah GA 31406-3825
Phone: (912) 352-2606
Fax: (912) 352-0623
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 028558 | Georgia |
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | 028558 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 028558 | Georgia |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 028558 | Georgia |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | 028558 | Georgia |
Profile Details
| NPI number | 1154315083 |
|---|---|
| LBN Legal business name | Gouse, John Conrad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Jun 21st, 2012 - about 13 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 | 1154315083 | NPPES |
| Georgia | Other | 023574 | BLUE CROSS |
| Georgia | MEDICAID | 00330536A | BLUE CROSS |
| Georgia | MEDICAID | G28558 | BLUE CROSS |
| Georgia | Other | 30016960 | BLUE CROSS |
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