Individual
MARAT GOLDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1350 WALTON WAY, AUGUSTA, GA 30901
(706) 774-7263
(706) 774-7230
Mailing address
PO BOX 1524, AUGUSTA, GA 30903-1524
(706) 774-7263
(706) 774-7230
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
068171
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003126148A
—
GA
05
—
003126148B
—
GA
Enumeration date
05/12/2006
Last updated
05/28/2018
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