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Individual

DR. LARRY S GOLDSTEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1200 RUSSELL PKWY, WARNER ROBINS, GA 31088-5540
(478) 328-2008
(478) 918-0276
Mailing address
900 CIRCLE 75 PKWY SE STE 900, ATLANTA, GA 30339-3084
(678) 426-2171
(404) 446-1957

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD000722
GA
213ES0103X
Foot & Ankle Surgery Podiatrist
000722
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00686472
RAILROAD MEDICARE
GA
Enumeration date
11/08/2005
Last updated
07/23/2019
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