Individual
KRISHNA J GOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4526
(404) 367-3014
Mailing address
501 MARSHALL ST, SUITE 203, JACKSON, MS 39202-1651
(601) 355-3353
(601) 355-3365
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
0361745448
IL
2084N0400X
Neurology Physician
Primary
070119
GA
2084N0400X
Neurology Physician
20021
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07587759
—
MS
01
—
300002201
US DEPT OF LABOR
MS
01
—
753068151
MHP
MS
01
—
P00466198
RR MEDICARE
—
Enumeration date
01/03/2008
Last updated
05/07/2025
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