Individual
JOHN W GOULDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
960 JOHNSON FERRY RD, STE 100, ATLANTA, GA 30342-1631
(404) 252-9063
(404) 252-0873
Mailing address
960 JOHNSON FERRY RD, STE 100, ATLANTA, GA 30342-1631
(404) 252-9063
(404) 252-0873
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
049140
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185589743A
—
GA
05
—
185589743C
—
GA
05
—
185589743F
—
GA
Enumeration date
07/17/2006
Last updated
08/07/2020
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