Kwayisi, Golda

Kwayisi, Golda is an individual health care provider with primary practice located at 1404 River Pl Ste 201 , Braselton GA 30517-5600. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Kwayisi, Golda can be contacted via phone (770) 219-9200.

Contact Information

Primary practice address
1404 River Pl Ste 201 Braselton GA 30517-5600
Phone: (770) 219-9200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X 82956 Georgia

Profile Details

NPI number 1528487139
LBN Legal business name Kwayisi, Golda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2014
Last updated Nov 14th, 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 1528487139 NPPES
Georgia MEDICAID G12535A

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