Individual
ADAM NATHANIEL GOULAS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
9168 2ND ST, SUITE 202, NORFOLK, VA 23511-2328
(757) 967-6175
Mailing address
6336 CABOT AVE, NORFOLK, VA 23502-2841
(757) 256-9722
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
04/01/2006
Last updated
07/08/2007
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