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NPI Code Detail

MEDICARE: GOLDSBORO ORTHOPAEDIC ASSOCIATES, PA

MEDICARE: GOLDSBORO ORTHOPAEDIC ASSOCIATES, PA
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
1174400000XSpecialist

General Provider Information

NPI Number : 1285699108
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOLDSBORO ORTHOPAEDIC ASSOCIATES, PA
Provider Business Mailing Address
First Line : 2808 MCLAMB PL
Second Line :
City : GOLDSBORO
State : NC
Zip : 27534-1600
Country : US
Telephone Number :
Fax Number : 919-580-0424
Provider Business Practice Location Address
First Line : 2808 MCLAMB PL
Second Line :
City : GOLDSBORO
State : NC
Zip : 27534-1600
Country : US
Telephone Number : 919-736-2157
Fax Number : 919-580-0424
Authorized Official
Title or Position : PRESIDENT
Name : SUSAN G CROOM
Credential : MD
Telephone Number : 919-736-2157
Provider Enumeration Date : 04/20/2006
Last Update Date : 07/08/2011

Similar Medicare Providers

1508846569 — DR. HECTOR MANUEL PEDRAZA M.D.
Practice Location Address:
2808 MCLAMB PL
GOLDSBORO, NC
27534-1600
Practice Phone: 919-736-2157
Practice Fax: 919-580-0424
1750361747 — DR. WILLIAM DE ARAUJO M.D.
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1588644587 — DR. GREGORY SCOTT BAUER M.D.
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2808 MCLAMB PL
GOLDSBORO, NC
27534-1600
Practice Phone: 919-736-2157
Practice Fax: 919-580-0424
1912987793 — DOUGLAS S GIBSON LPT
Practice Location Address:
2808 MCLAMB PL
GOLDSBORO, NC
27534-1600
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Practice Fax: 919-580-0424
1497735831 — DR. LAURENCE DAVIS FREDERICK III M.D.
Practice Location Address:
2808 MCLAMB PL
GOLDSBORO, NC
27534-1600
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Practice Fax: 919-580-0424
1518934686 — DR. ROBERT A OTTAVIANI MD
Practice Location Address:
2808 MCLAMB PL
GOLDSBORO, NC
27534-1600
Practice Phone: 919-736-2157
Practice Fax: 919-580-0424

Directions to “GOLDSBORO ORTHOPAEDIC ASSOCIATES, PA ” Practice Location

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