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NPI Code Detail

MEDICARE: ILA GOULD

MEDICARE: ILA GOULD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistPCET004431GA

General Provider Information

NPI Number : 1417814120
Entity Type Code : Individual
Provider Name (Legal Business Name) : ILA GOULD
Provider Business Mailing Address
First Line : 1291 S HOUSTON LAKE RD STE G
Second Line :
City : WARNER ROBINS
State : GA
Zip : 31088-2745
Country : US
Telephone Number : 478-333-2999
Fax Number : 478-900-1100
Provider Business Practice Location Address
First Line : 1291 S HOUSTON LAKE RD STE G
Second Line :
City : WARNER ROBINS
State : GA
Zip : 31088-2745
Country : US
Telephone Number : 478-333-2999
Fax Number : 478-900-1100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2026
Last Update Date : 01/06/2026

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Directions to “ ILA GOULD ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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