Individual
JAMES R. GOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3527 N VALDOSTA RD, VALDOSTA, GA 31602-1068
(229) 247-2290
(229) 244-2626
Mailing address
3527 N VALDOSTA RD, VALDOSTA, GA 31602-1068
(229) 247-2290
(229) 244-2626
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
027381
GA
207X00000X
Orthopaedic Surgery Physician
0S0006046
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00304554D
—
GA
01
—
045256400
MEDICAID
FL
Enumeration date
06/08/2005
Last updated
06/24/2008
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