| Otto C Goyco Md Internal Medicine Llc | |
|
900 Sanders Rd Suite B Cumming GA 30041-5960 | |
| (770) 781-8840 | |
| (770) 781-8098 |
| Full Name | Otto C Goyco Md Internal Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 900 Sanders Rd, Cumming, Georgia |
| Authorized Official Name and Position | Otto C Goyco (OWNER) |
| Authorized Official Contact | 7707818840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Otto C Goyco Md Internal Medicine Llc 900 Sanders Rd Suite B Cumming GA 30041-5960 Ph: (770) 781-8840 | Otto C Goyco Md Internal Medicine Llc 900 Sanders Rd Suite B Cumming GA 30041-5960 Ph: (770) 781-8840 |
| NPI Number | 1598782534 |
|---|---|
| Provider Enumeration Date | 07/16/2006 |
| Last Update Date | 03/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598782534 | NPI | - | NPPES |
| 000752903M | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 042473 (Georgia) | Primary |
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