Individual
DR. ANTHONY DHIANTIE GOEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(710) 219-9103
Mailing address
PO BOX 1705, AUGUSTA, GA 30903-1705
(706) 774-7022
(706) 774-7023
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
77040
GA
2085R0204X
Vascular & Interventional Radiology Physician
P0055
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
320604YPM9
MEDICARE PTAN
TX
01
—
320604YR70
MEDICARE PTAN
TX
Enumeration date
10/25/2005
Last updated
11/20/2025
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