Goli, Krishna J

Goli, Krishna J is an individual health care provider with primary practice located at 1255 Highway 54 W , Fayetteville GA 30214-4526. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Goli, Krishna J can be contacted via phone (404) 367-3014.

Contact Information

Primary practice address
1255 Highway 54 W Fayetteville GA 30214-4526
Phone: (404) 367-3014
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 20021 Mississippi
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 070119 Georgia

Profile Details

NPI number 1932384427
LBN Legal business name Goli, Krishna J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2008
Last updated Feb 2nd, 2022 - about 3 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 1932384427 NPPES
Mississippi Other 753068151 MHP
Mississippi Other 753068151 MHP
Mississippi Other P00466198 MHP
Mississippi MEDICAID 07587759 MHP
Mississippi Other 300002201 MHP

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