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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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