Espy, Goodman Basil

Espy, Goodman Basil is an individual health care provider with primary practice located at 699 Church St Ne Suite 300, Marietta GA 30060-1122. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Espy, Goodman Basil can be contacted via phone (770) 422-8700.

Contact Information

Primary practice address
699 Church St Ne Suite 300 Marietta GA 30060-1122
Phone: (770) 422-8700
Fax: (770) 425-7601
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 11544 Georgia

Profile Details

NPI number 1720072499
LBN Legal business name Espy, Goodman Basil
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Jan 15th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720072499 NPPES
Georgia MEDICAID 39795A

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