Goldklang, Gerald Alan
Goldklang, Gerald Alan is an individual health care provider with primary practice located at 132 Old Norton Rd Suite 200, Fayetteville GA 30215-4872. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Goldklang, Gerald Alan can be contacted via phone (678) 817-1117.Contact Information
Primary practice address
132 Old Norton Rd Suite 200
Fayetteville GA 30215-4872
Phone: (678) 817-1117
Fax: (678) 817-0823
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 020714 | Georgia |
Profile Details
| NPI number | 1912955840 |
|---|---|
| LBN Legal business name | Goldklang, Gerald Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Aug 18th, 2020 - about 6 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 | 1912955840 | NPPES |
| Georgia | MEDICAID | 000188801AF | |
| Georgia | MEDICAID | 000188801U | |
| Georgia | MEDICAID | 000188801T |
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