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
Phone: (864) 281-9440
Fax: (864) 281-9443
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013915347 | NPPES |
| South Carolina | MEDICAID | 103444 |
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