Individual
DR. BRUCE J GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
340 KENNESTONE HOSPITAL BLVD STE 100, MARIETTA, GA 30060-1158
(770) 281-5100
(678) 581-7100
Mailing address
531 ROSELANE ST NW STE 710, MARIETTA, GA 30060-6975
(678) 331-3297
(678) 581-7187
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
032740
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00416424A
—
GA
05
—
00416424B
—
GA
05
—
00416424C
—
GA
05
—
00416424D
—
GA
05
—
00416424E
—
GA
05
—
00416424F
—
GA
01
—
1326042706
NPI NUMBER
GA
Enumeration date
06/13/2005
Last updated
06/10/2019
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