Mica Goulbourne, MD is a student in an organized health care education training program in Lebanon, NH. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Mica Goulbourne, MD NPI is 1093276966. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1 MEDICAL DR DEPT OF
LEBANON, NH
ZIP 03756-000
Phone: (678) 822-7536
The NPI 1093276966 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.
The enumeration date for this NPI number is 3/25/2019 and was last updated on 3/25/2019.