Individual
JOHN PARKER GOFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 847-5473
(252) 752-6600
Mailing address
1850 W ARLINGTON BLVD, GREENVILLE, NC 27834-5704
(252) 413-6740
(252) 752-6600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33368
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36065
BCBS
—
05
—
7936065
—
NC
Enumeration date
11/10/2005
Last updated
01/19/2022
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