Otto Goyco

NPI 1013990431 - Internal Medicine - 207R00000X

NPI Details
NPI 1013990431
Gender Male
Enumeration Date 11/21/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
900 SANDERS RD
SUITE B
CUMMING GA, 30041-5960, US
Phone (770) 781-8840
Fax (770) 781-8098
Business Location
4074 BOGAN BLUFF LN
BUFORD GA, 30519-4501, US
Phone (678) 482-6886
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Georgia
License Number 042473
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According to our database, Otto Goyco NPI is 1013990431, taxonomy code is 207R00000X and license number is 042473, license state is located at Georgia. Otto Goyco physically located at 900 Sanders Rd, Cumming GA, 30041-5960. NPI Number Otto Goyco has the Individual type.

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1013990431 NPI number is provided on an as is basis without warranty of any kind. 1013990431 is maintained by the National Plan & Provider Enumeration System. The contents of Otto Goyco are for informational purposes only.