Individual
MARTHA KATE GOFORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1802 6TH AVE S, BIRMINGHAM, AL 35233-1932
(205) 934-3411
Mailing address
3761 KINROSS DR, BIRMINGHAM, AL 35242-5805
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-148399
AL
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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