# THREE RIVERS MEDICAL ASSOCIATES, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124901459
- **Authorized official:** DR. JOHN GOULD DO (PRESIDENT)
- **Authorized official phone:** (839) 200-7800

## Contact information

- **Practice address:** 115 ATRIUM WAY, COLUMBIA, SC 29223-6371
- **Practice address phone:** (839) 200-7800
- **Mailing address:** 7430 COLLEGE ST, IRMO, SC 29063-2903

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/25/2025
- **Last updated:** 07/25/2025