Individual
JAMES ERIC GOFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
201 DOCTORS DR, DOTHAN, AL 36301-2949
(334) 794-6611
(334) 794-6614
Mailing address
65 COUNTY ROAD 679, COFFEE SPRINGS, AL 36318-6051
(334) 494-8485
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
1-097156
AL
363LG0600X
Gerontology Nurse Practitioner
1-097156
AL
363LP2300X
Primary Care Nurse Practitioner
Primary
1-097156
AL
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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