Goei, Anthony Dhiantie

Goei, Anthony Dhiantie is an sole proprietor health care provider with primary practice located at 1348 Walton Way Ste 5700 , Augusta GA 30901-5110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Goei, Anthony Dhiantie can be contacted via phone (706) 774-7022.

Contact Information

Primary practice address
1348 Walton Way Ste 5700 Augusta GA 30901-5110
Fax: (706) 774-7023
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X P0055 Texas

Profile Details

NPI number 1255321915
LBN Legal business name Goei, Anthony Dhiantie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2005
Last updated Jan 2nd, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255321915 NPPES
Texas Other 320604YR70 MEDICARE PTAN
Texas Other 320604YPM9 MEDICARE PTAN

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