Goldie, Gainneos R.
Goldie, Gainneos R. is an individual health care provider with primary practice located at 3020 Highway 124 , Snellville GA 30039-4614. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Goldie, Gainneos R. can be contacted via phone (770) 978-1331.Contact Information
Primary practice address
3020 Highway 124
Snellville GA 30039-4614
Phone: (770) 978-1331
Fax: (770) 978-8580
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M0735 | Texas |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 87599 | Georgia |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | MD447980 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 87599 | Georgia |
Profile Details
| NPI number | 1194778878 |
|---|---|
| LBN Legal business name | Goldie, Gainneos R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Apr 13th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194778878 | NPPES |
| Texas | Other | 8W8852 | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 175370901 | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 175370903 | BLUE CROSS BLUE SHIELD |
| Texas | MEDICAID | 175370902 | BLUE CROSS BLUE SHIELD |
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