Provider Demographics
NPI:1134133259
Name:GOINS, JAMES ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ROBERT
Last Name:GOINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:210 13TH AVENUE PL NW
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-2568
Mailing Address - Country:US
Mailing Address - Phone:828-322-3017
Mailing Address - Fax:828-322-1087
Practice Address - Street 1:210 13TH AVENUE PL NW
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-2568
Practice Address - Country:US
Practice Address - Phone:828-322-3017
Practice Address - Fax:828-322-1087
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC22729207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8936066Medicaid
NC8936066Medicare PIN
NCC84096Medicare UPIN