Individual
DR. GOOL K GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2704 MEDICAL OFFICE PL, GOLDSBORO, NC 27534-9460
(919) 736-4724
(919) 736-1677
Mailing address
2704 MEDICAL OFFICE PL, GOLDSBORO, NC 27534-9460
(919) 736-4724
(919) 736-1677
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20141
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37893
BCBS
NC
05
—
8937893
—
NC
Enumeration date
04/17/2006
Last updated
01/18/2012
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