Goldsberry, Gregory E

Goldsberry, Gregory E is an individual health care provider with primary practice located at 777 Hemlock St , Macon GA 31201-2102. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Goldsberry, Gregory E can be contacted via phone (866) 507-5244.

Contact Information

Primary practice address
777 Hemlock St Macon GA 31201-2102
Phone: (866) 507-5244
Fax: (855) 851-4405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 003354 Georgia

Profile Details

NPI number 1669693578
LBN Legal business name Goldsberry, Gregory E
Credentials PA-AA
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Nov 17th, 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 1669693578 NPPES
Georgia Other 100002067A PEACHSTATE CMO - MCCG
Georgia Other 344356 PEACHSTATE CMO - MCCG
Georgia Other 467671812 PEACHSTATE CMO - MCCG
Georgia MEDICAID 100002067A PEACHSTATE CMO - MCCG

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