Organization
GOLDEN COAST MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY V JAMES MD (CEO)
(502) 403-4164
Entity
Organization
Contact information
Practice address
455 S 4TH ST, LOUISVILLE, KY 40202-2593
(502) 403-4164
Mailing address
455 S 4TH ST, LOUISVILLE, KY 40202-2593
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20690
KY
Other
Enumeration date
02/21/2009
Last updated
03/05/2009
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