Individual
DR. AUGUSTUS J GOFORTH III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
131 COMMONWEALTH DR, SUITE 230, GREENVILLE, SC 29615-4883
(864) 281-9440
(864) 281-9443
Mailing address
131 COMMONWEALTH DR, SUITE 230, GREENVILLE, SC 29615-4883
(864) 281-9440
(864) 281-9443
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
SC10344
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103444
—
SC
Enumeration date
07/11/2005
Last updated
12/14/2011
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