Individual
JAMES D. GORHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. PH.D.
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0001
(888) 882-3990
(434) 243-6499
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
10424
NH
207ZC0006X
Clinical Pathology Physician
Primary
0101257556
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0RE4976
—
VT
05
—
30200015
—
NH
Enumeration date
07/02/2006
Last updated
10/09/2020
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