Individual
EMILY PRICE GOFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
534 WOODS LAKE RD, GREENVILLE, SC 29607-2778
(864) 720-2739
(864) 720-2740
Mailing address
534 WOODS LAKE RD, GREENVILLE, SC 29607-2778
(864) 720-2739
(864) 720-2740
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1492
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1110PA
—
SC
Enumeration date
02/08/2010
Last updated
11/20/2023
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