Individual
DR. PHILIP R GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
439 US HIGHWAY 158 W, YANCEYVILLE, NC 27379-8304
(336) 694-9331
(336) 694-4209
Mailing address
439 US HIGHWAY 158 W, YANCEYVILLE, NC 27379-8304
(336) 694-9331
(336) 694-4209
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2013-00445
NC
207R00000X
Internal Medicine Physician
ME 17023
FL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
2013-00445
NC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
ME17023
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821030792
—
NC
01
—
19BMR
BCBSNC
NC
Enumeration date
06/12/2006
Last updated
07/21/2022
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