Espy, Goodman Basil
Espy, Goodman Basil is an individual health care provider with primary practice located at 699 Church St Ne Suite 300, Marietta GA 30060-1122. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Espy, Goodman Basil can be contacted via phone (770) 422-8700.Contact Information
Primary practice address
699 Church St Ne Suite 300
Marietta GA 30060-1122
Phone: (770) 422-8700
Fax: (770) 425-7601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 11544 | Georgia |
Profile Details
| NPI number | 1720072499 |
|---|---|
| LBN Legal business name | Espy, Goodman Basil |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2005 |
| Last updated | Jan 15th, 2014 - about 10 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720072499 | NPPES |
| Georgia | MEDICAID | 39795A |
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