Individual
JOHNNY S GOMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
420 N CENTER ST, HICKORY, NC 28601-5046
(828) 315-5636
(828) 315-5656
Mailing address
420 N CENTER ST, HICKORY, NC 28601-5046
(828) 315-5636
(828) 315-5656
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
146002
NC
207P00000X
Emergency Medicine Physician
25MB07443700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2646716000
AMERIHEALTH
NJ
01
—
60018859
HORIZON NJ HEALTH
NJ
05
—
8960003
—
NJ
01
—
P00161477
RAILROAD MEDICARE
NJ
Enumeration date
06/28/2006
Last updated
06/13/2009
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