JOHN GOULD III MD

PROVIDENCE PHYSICIAN PRACTICES, LLC

Dr JOHN GOULD III MD is a male medical professional, specializing in Internal Medicine. He graduated in 2000 from Philadelphia College Of Osteopathic Medicine.

Contact

PROVIDENCE PHYSICIAN PRACTICES, LLC

7430 COLLEGE ST
IRMO
SC
290632903

Tel: 8037324001

JOHN GOULD III MD Information

Npi 1215922091
Pac Id 0345221297
Professional Enrollment Id I20040526000986
Last Name GOULD
First Name JOHN
Middle Name
Suffix III
Gender M
Credential MD
Medical School Name PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year 2000
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1 HOSPITALIST
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties HOSPITALIST
Organization Legal Name PROVIDENCE PHYSICIAN PRACTICES, LLC
Group Practice Pac Id 9638475627
Number Of Group Practice Members 49
Line 1 Street Address 7430 COLLEGE ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City IRMO
State SC
Zip Code 290632903
Phone Number 8037324001
Hospital Affiliation Ccn 1 420086
Hospital Affiliation Lbn 1 PALMETTO HEALTH BAPTIST
Hospital Affiliation Ccn 2 420026
Hospital Affiliation Lbn 2 PROVIDENCE HEALTH
Hospital Affiliation Ccn 3 420018
Hospital Affiliation Lbn 3 PALMETTO HEALTH RICHLAND
Hospital Affiliation Ccn 4 420106
Hospital Affiliation Lbn 4 PALMETTO HEALTH BAPTIST PARKRIDGE
Hospital Affiliation Ccn 5 420073
Hospital Affiliation Lbn 5 LEXINGTON MEDICAL CENTER
Professional Accepts Medicare Assignment Y

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