Individual
RICHARD D GOULAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 HOSPITAL DR STE 3B, HENDERSONVILLE, NC 28792-5245
(828) 687-0088
(828) 684-6693
Mailing address
2000 PERIMETER PARK DR STE 200, MORRISVILLE, NC 27560-8442
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
11486
MT
207RC0000X
Cardiovascular Disease Physician
38621
NC
207RC0000X
Cardiovascular Disease Physician
DR.0045325
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05879825
—
VA
01
—
236347
ANTHEM
VA
01
—
38621
STATE LICENSES
NC
01
—
P00064711
RR M CARE
VA
Enumeration date
08/01/2006
Last updated
10/30/2023
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