Provider Demographics
NPI:1386301976
Name:GOLDING, WESLEY (AGACNP)
Entity type:Individual
Prefix:
First Name:WESLEY
Middle Name:
Last Name:GOLDING
Suffix:
Gender:M
Credentials:AGACNP
Other - Prefix:
Other - First Name:WES
Other - Middle Name:
Other - Last Name:GOLDING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:AGACNP
Mailing Address - Street 1:934 COX RD
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-3456
Mailing Address - Country:US
Mailing Address - Phone:980-834-5864
Mailing Address - Fax:
Practice Address - Street 1:934 COX RD
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-3456
Practice Address - Country:US
Practice Address - Phone:980-834-5864
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-18
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCGOLD-343ER207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease