Carole Elaine Gooch in Kingston - Nurse Practitioner
Carole Elaine Gooch - NPI 1578777967
Carole Elaine Gooch is a Nurse Practitioner in Kingston, Georgia. Carole Elaine Gooch practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Carole Elaine Gooch is 1578777967. The last update date is 2011-03-07.
Carole Elaine Gooch's current location address is 30 Ward Mountain Rd, Kingston, Georgia. You can contact this provider via phone number 7062664387 and fax number 7062917383. The mailing address for Carole Elaine Gooch is 30 Ward Mountain Rd, Kingston, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carole Elaine Gooch |
|---|---|
| Address | 30 Ward Mountain Rd, Kingston, Georgia |
| Phone Number | 7062664387 |
| Fax Number | 7062917383 |
| Sole Proprietor | Y |
| Credentials | APRN,BC |
NPI Number Detail
| NPI Number | 1578777967 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2011-03-07 |
Provider Mailing Address Detail
| Address | 30 Ward Mountain Rd |
|---|---|
| City | Kingston |
| State | Georgia (GA) |
| Post Code | 301451129 |
| Phone Number | 7062664387 |
| Fax Number | 7062917383 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | RN069392 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LIC # | GA | RN069392 |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Carole Elaine Gooch by the Centers for Medicare & Medicaid Services?
The Carole Elaine Gooch has been assigned the NPI (National Provider Identifier) 1578777967 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Carole Elaine Gooch?
The Carole Elaine Gooch is situated at 30 Ward Mountain Rd, in the city of Kingston, state of GA, with the zip code 301451129.
What is Carole Elaine Gooch's specialized field of practice, and what is the corresponding taxonomy classification code?
The Carole Elaine Gooch's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
When was the Carole Elaine Gooch's 1578777967 issued?
The Carole Elaine Gooch's 1578777967 was issued on 2007-05-09.
As of what date were the Carole Elaine Gooch's details last updated?
The information pertaining to the Carole Elaine Gooch, including its address, specialty, and other details, was most recently updated on 2011-03-07.
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