Goldenberg, Viviana Ines
Goldenberg, Viviana Ines is an individual health care provider with primary practice located at 101 Banks Sta Kaiser Permanente Fayette Medical Center, Fayetteville GA 30214-7507. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Goldenberg, Viviana Ines can be contacted via phone (678) 610-3700.Contact Information
Primary practice address
101 Banks Sta Kaiser Permanente Fayette Medical Center
Fayetteville GA 30214-7507
Phone: (678) 610-3700
Fax: (770) 631-2415
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 39544 | Kentucky |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 65552 | Georgia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 065552 | Georgia |
Profile Details
| NPI number | 1003853847 |
|---|---|
| LBN Legal business name | Goldenberg, Viviana Ines |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Jan 10th, 2022 - about 2 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 | 1003853847 | NPPES |
| Kentucky | MEDICAID | 64124183 | |
| Kentucky | MEDICAID | 003106664A | |
| Kentucky | MEDICAID | 2691912 |
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