Goza, Marysue C

Goza, Marysue C is an sole proprietor health care provider with primary practice located at 436 Old Greenville Rd , Fayetteville GA 30215-2827. She recently has only one registered license in Emergency Medical Service Providers / Emergency Medical Technician, Basic, which is considered as her primary health care specialty. Goza, Marysue C can be contacted via phone (770) 719-5660.

Contact Information

Primary practice address
436 Old Greenville Rd Fayetteville GA 30215-2827
Phone: (770) 719-5660
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X 043945 Georgia

Profile Details

NPI number 1386803831
LBN Legal business name Goza, Marysue C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2008
Last updated Jun 9th, 2008 - about 17 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 1386803831 NPPES
Georgia Other 043945 GA STATE LICENSE

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