Individual
DR. CARRIE MICHELLE GOULD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
555 E COUNTY LINE RD STE 106, GREENWOOD, IN 46143
(317) 497-2100
(317) 497-2101
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7588
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01080458A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
266180B91
MEDICARE
IN
05
—
30015953
—
IN
01
—
P02085737
RAIDROAD MEDICARE
IN
Enumeration date
03/27/2014
Last updated
11/27/2023
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