Individual
MR. GEORGE EDWARD GOFORTH II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3455 HIGHWAY 153, PIEDMONT, SC 29673-7725
(864) 220-9992
(864) 220-2967
Mailing address
105 SEDGEWOOD COURT, EASLEY, SC 29642
(864) 269-9279
(864) 220-9997
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3435
SC
Other
Enumeration date
03/21/2011
Last updated
03/21/2011
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