Individual
MICHAEL L GOFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
3400 OLD MILTON PKWY, BLDG C, STE 575, ALPHARETTA, GA 30005-3707
(770) 410-0202
(770) 410-0955
Mailing address
7215 COMMONS CIR UNIT C, CHEYENNE, WY 82009-2666
(307) 637-7415
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD004125
GA
237600000X
Audiologist-Hearing Aid Fitter
A-1012
WY
Other
Enumeration date
10/10/2016
Last updated
05/18/2020
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