Individual
DR. LOUIS A GOEHRING III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
980 SANDERS RD, SUITE 100, CUMMING, GA 30041-5977
(770) 886-1074
(770) 205-4717
Mailing address
980 SANDERS RD, SUITE 100, CUMMING, GA 30041-5977
(770) 886-1074
(770) 205-4717
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
033335
GA
208600000X
Surgery Physician
033335
GA
208600000X
Surgery Physician
Primary
33335
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000448786D
—
GA
05
—
000448786E
—
GA
05
—
000448786F
—
GA
Enumeration date
09/15/2005
Last updated
08/10/2020
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