Goforth, Augustus J

Goforth, Augustus J is an sole proprietor health care provider with primary practice located at 131 Commonwealth Dr Suite 230, Greenville SC 29615-4883. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Goforth, Augustus J can be contacted via phone (864) 281-9440.

Contact Information

Primary practice address
131 Commonwealth Dr Suite 230 Greenville SC 29615-4883
Fax: (864) 281-9443
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X SC10344 South Carolina

Profile Details

NPI number 1013915347
LBN Legal business name Goforth, Augustus J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2005
Last updated Dec 14th, 2011 - about 13 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 1013915347 NPPES
South Carolina MEDICAID 103444

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