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Michael Goforth, AUD

NPI 1275083651 · on the registry since 2016

Practice

Address
3400 Old Milton Pkwy
Bldg C, Ste 575
Alpharetta, GA 30005
Phone
(770) 410-0202
Fax
(770) 410-0955
Organisation at this address
Qss Georgia Llc
Lotus Vision Llc
Urogynecology Pc
Alpha Omega Ob Gyn
Lumera Dermatology Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
102

Registry record

Primary taxonomy
231H00000X
231H00000X
Also registered as
237600000X
Licence states on file
WY, GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-05-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia