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1013915347
AUGUSTUS J GOFORTH
GREENVILLE, SC
NPI
1013915347
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: SC SC10344)
Enumeration Date
2005-07-11
Last Update Date
2011-12-14
Business Address
Dr. AUGUSTUS J GOFORTH MD
131 COMMONWEALTH DR SUITE 230
GREENVILLE, SC 29615-4883
Phone number: 864-281-9440
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Mailing Address
Dr. AUGUSTUS J GOFORTH MD
131 COMMONWEALTH DR SUITE 230
GREENVILLE, SC 29615-4883
Phone number: 864-281-9440
Copy
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