Clarence E Goulding III MD

NPI 1033292362 - Family Medicine - 207Q00000X

NPI Details
NPI 1033292362
Gender Male
Enumeration Date 10/23/2006
Last Updated 09/21/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
200 MEDTECH PKWY
SUITE 108
JOHNSON CITY TN, 37604, US
Phone (423) 915-5033
Fax (423) 915-5179
Business Location
PO BOX 3700
JOHNSON CITY TN, 37602-3700, US
Phone (423) 952-2122
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Tennessee
License Number 15893
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According to our database, Clarence E Goulding III MD NPI is 1033292362, taxonomy code is 207Q00000X and license number is 15893, license state is located at Tennessee. Clarence E Goulding III MD physically located at 200 Medtech Pkwy, Johnson City TN, 37604. NPI Number Clarence E Goulding III MD has the Individual type.

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1033292362 NPI number is provided on an as is basis without warranty of any kind. 1033292362 is maintained by the National Plan & Provider Enumeration System. The contents of Clarence E Goulding III MD are for informational purposes only.