Dr Laurie O Goss, MD | |
1401 Matthews Township Pkwy, Suite 100, Matthews, NC 28105-5402 | |
(704) 384-1080 | |
(704) 384-1122 |
Full Name | Dr Laurie O Goss |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1401 Matthews Township Pkwy, Matthews, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972522886 | NPI | - | NPPES |
N0003D | Medicaid | SC | |
5901574 | Medicaid | NC | |
140JT | Other | NC | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 200400036 (North Carolina) | Primary |
Entity Name | Novant Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
Mailing Address | Practice Location Address |
---|---|
Dr Laurie O Goss, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: (704) 384-1080 | Dr Laurie O Goss, MD 1401 Matthews Township Pkwy, Suite 100, Matthews, NC 28105-5402 Ph: (704) 384-1080 |
Kevin Leal, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 332 N Trade St # 1500, Matthews, NC 28105 Phone: 704-512-6820 | |
Blaire Marie Williams Smith, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 201 E Matthews St Ste 100, Matthews, NC 28105 Phone: 704-847-0572 Fax: 704-849-9760 | |
Dr. Meredith Calcina Davitte, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1401 Matthews Township Pkwy Ste 100, Matthews, NC 28105 Phone: 704-384-1080 | |
Dr. Hala Ahmed Elhemaily, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 201 E Matthews St, Matthews, NC 28105 Phone: 704-847-0572 Fax: 704-844-2068 | |
Courtney Gregg Self, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 201 E Matthews St Ste 100, Matthews, NC 28105 Phone: 704-847-0572 Fax: 704-849-9760 | |
Dr. Latonya Danielle Griffin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1401 Matthews Township Pkwy, Suite 320, Matthews, NC 28105 Phone: 704-316-3145 Fax: 704-316-3146 | |
Dr. Varsha Laxman Pherwani, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 201 E Matthews St, Matthews, NC 28105 Phone: 704-847-0572 Fax: 704-847-9760 |