Goncharow, William Glen

Goncharow, William Glen is an sole proprietor health care provider with primary practice located at 2817 Rock Merritt Ave , Fort Bragg NC 28310-7324. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Goncharow, William Glen can be contacted via phone (910) 907-7136.

Contact Information

Primary practice address
2817 Rock Merritt Ave Fort Bragg NC 28310-7324
Phone: (910) 907-7136
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2013-01608 North Carolina
Allopathic & Osteopathic Physicians / General Practice 208D00000X 2013-01608 North Carolina

Profile Details

NPI number 1407113103
LBN Legal business name Goncharow, William Glen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2012
Last updated Jun 24th, 2026 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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