Individual provider · NPI-1
Dr. Leonidas Athanasios Goudas, MD
Internal Medicine, Hospice and Palliative Medicine · Morganton, NC
NPI number1306941133
StatusActive
Last updated in NPPESAug 17, 2023
Details
- NPI
- 1306941133
- Entity type
- Individual (NPI-1)
- Name
- Dr. Leonidas Athanasios Goudas
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 14, 2006
- Certification date
- Aug 17, 2023
- Last updated
- Aug 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RH0002X | Internal Medicine, Hospice and Palliative Medicine | 2003-00795 | NC | Yes |
| 208600000X | Surgery | 200300795 | NC |
Practice location
300 Enola RdMorganton, NC 28655-4608
Phone 828-608-6360 · Fax 828-433-2735
Mailing address
300 Enola RdMorganton, NC 28655-4608
Phone 828-608-6360 · Fax 828-433-2735
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