Individual
MARYSUE C GOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
436 OLD GREENVILLE RD, FAYETTEVILLE, GA 30215-2827
(770) 719-5660
Mailing address
436 OLD GREENVILLE RD, FAYETTEVILLE, GA 30215-2827
(770) 719-1460
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
043945
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043945
GA STATE LICENSE
GA
Enumeration date
06/09/2008
Last updated
06/09/2008
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