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Contact Information

GOFS STOCKBRIDGE
225 COUNTRY CLUB DR
#110
STOCKBRIDGE, GA30281
 Phone: 678-905-9066
 Fax: 678-401-4725
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for GOFS STOCKBRIDGE · (Female)

NPI # 1114425964
Status Active
Credentials
Entity Individual
Enumeration date 01/26/2018
Last updated 01/26/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # DN014207
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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