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Contact Information

AUGUSTUS J GOFORTH III, MD
131 COMMONWEALTH DR
SUITE 230
GREENVILLE, SC29615-4883
 Phone: 864-281-9440
 Fax: 864-281-9443
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for AUGUSTUS J GOFORTH III · (Male)

NPI Number 1013915347
Status Active
Credentials MD
Entity Individual
Enumeration date 07/11/2005
Last updated 12/14/2011 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • SC License # SC10344
  • SC Medicaid 103444
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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