Individual
MARYSUE C GOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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