Provider Demographics
NPI:1669570107
Name:JOACHIM, JAMES GOLDEN (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:GOLDEN
Last Name:JOACHIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1602 PHYSICIANS DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401
Mailing Address - Country:US
Mailing Address - Phone:910-762-8077
Mailing Address - Fax:910-762-2760
Practice Address - Street 1:1602 PHYSICIANS DR
Practice Address - Street 2:SUITE 105
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401
Practice Address - Country:US
Practice Address - Phone:910-762-8077
Practice Address - Fax:910-762-2760
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2011-12-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC9401226207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
46032OtherBCBS
0428821OtherUHC
A29756Medicare UPIN
0428821OtherUHC