Individual
EARL S GOLIGHTLY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
681 SOUTH 9TH STREET, GRIFFIN, GA 30224
(770) 228-5745
(770) 228-5317
Mailing address
681 SOUTH 9TH STREET, GRIFFIN, GA 30224
(770) 228-5745
(770) 228-5317
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
22148
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00444034A
—
GA
01
—
22148
STATE LICENSE
GA
Enumeration date
06/06/2006
Last updated
07/08/2007
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