Individual
MARIA GOYCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2020 HONEY CREEK PKWY SE, CONYERS, GA 30013-2974
(770) 929-0813
(770) 929-3868
Mailing address
2020 HONEY CREEK PKWY SE, CONYERS, GA 30013-2974
(770) 929-0813
(770) 929-3868
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
043054
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000834424A
—
GA
01
—
080145770
MEDICARE RAILROAD
—
Enumeration date
08/19/2006
Last updated
06/05/2012
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