Robert I Goulart CRNA

NPI 1669429064 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1669429064
Gender Male
Enumeration Date 05/30/2006
Last Updated 08/21/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
701 GROVE RD
2ND FLOOR ANESTHESIA DEPT
GREENVILLE SC, 29605-5611, US
Phone (864) 455-7111
Fax
Business Location
255 ENTERPRISE BLVD
SUITE 250
GREENVILLE SC, 29615-6300, US
Phone (864) 454-0888
Fax (864) 454-1130
Toxanomy
Taxonomy Code 367500000X
License State South Carolina
License Number APRN977
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According to our database, Robert I Goulart CRNA NPI is 1669429064, taxonomy code is 367500000X and license number is APRN977, license state is located at South Carolina. Robert I Goulart CRNA physically located at 701 Grove Rd, Greenville SC, 29605-5611. NPI Number Robert I Goulart CRNA has the Individual type.

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1669429064 NPI number is provided on an as is basis without warranty of any kind. 1669429064 is maintained by the National Plan & Provider Enumeration System. The contents of Robert I Goulart CRNA are for informational purposes only.