Provider Demographics
NPI:1063494151
Name:GOLDING, JOHN C (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:C
Last Name:GOLDING
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1818 RICHARDSON DR STE A
Mailing Address - Street 2:
Mailing Address - City:REIDSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27320-5450
Mailing Address - Country:US
Mailing Address - Phone:336-349-5040
Mailing Address - Fax:336-369-5366
Practice Address - Street 1:1818 RICHARDSON DR
Practice Address - Street 2:
Practice Address - City:REIDSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27320-5451
Practice Address - Country:US
Practice Address - Phone:336-349-5040
Practice Address - Fax:336-369-5366
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2013-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC9900845207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891204NMedicaid
NC2273077BMedicare PIN
NCG93631Medicare UPIN