GOFS STOCKBRIDGE; NPI #1114425964

Contact Information

GOFS STOCKBRIDGE

225 COUNTRY CLUB DR
#110
STOCKBRIDGE, GA 30281

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

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NPI Profile & details for GOFS STOCKBRIDGE

NPI Number 1114425964

LBN Legal business name GOFS STOCKBRIDGE

Authorized official GIANA HOUSTON - (CFO)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/26/2018

Last updated 01/26/2018 - About 8 years ago

Identifiers

License #

DN014207

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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GOFS STOCKBRIDGE

Contact Information

Specialty

Oral & Maxillofacial Surgery

NPI Profile & details for GOFS STOCKBRIDGE

Reviews for GOFS STOCKBRIDGE