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Individual

DR. LEONIDAS ATHANASIOS GOUDAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 ENOLA RD, MORGANTON, NC 28655-4608
(828) 608-6360
(828) 433-2735
Mailing address
300 ENOLA RD, MORGANTON, NC 28655-4608
(828) 608-6360
(828) 433-2735

Taxonomy

Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
2003-00795
NC
208600000X
Surgery Physician
200300795
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
134XN
BCBS
NC
05
89134XN
NY
Enumeration date
09/14/2006
Last updated
08/17/2023
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