Gary Morgan Goudelock
MD | Pediatrics | Male
Gary Morgan Goudelock, MD is a Greenville, South Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Gary Morgan Goudelock is
20 Medical Ridge Dr, Greenville, South Carolina - 29605-4267. He can be contacted on phone at
864-220-7270 and fax number 864-241-9211.
Gary Morgan Goudelock is a sole proprietor of his business.
NPI number (Unique professional ID) for Gary Morgan Goudelock is
1457342461 which was assigned by NPPES on 31 Oct, 2005 and it was last updated on 21 Jul, 2022.
Gary Morgan Goudelock license number is
10729 for Pediatrics (208000000X) in South Carolina.
Gary Morgan Goudelock is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Gary Morgan Goudelock basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Gary Morgan Goudelock |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Gary Morgan Goudelock address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 20 Medical Ridge Dr
Greenville, SC, 29605-4267
United States |
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| Phone Number : | 864-220-7270 |
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| Fax Number : | 864-241-9211 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1457342461 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 31 Oct, 2005 |
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| Last Updated On : | 21 Jul, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gary Morgan Goudelock are as mentioned. Primary taxonomy code for Gary Morgan Goudelock, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 10729 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Gary Morgan Goudelock such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 107299 | MEDICAID | SC | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1 Independence Pt, Suite 212
Greenville, SC, 29615-4545
United States |
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| Phone Number : | 864-797-6044 |
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Business Location:
Patients can refer following map for directions to
Gary Morgan Goudelock practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.