Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 47503 | TN |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 067021 | GA |
N | 207RC0200X | Critical Care Medicine | 22372 | WI |
NPI | 1518079789 |
---|---|
Provider Name | Dr. Robert Warren Goldmann |
First Address | Gainesville, GA 30501-3715 |
Second Address | Gainesville, GA 30501-3715 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 09/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1527434 | (05) | TN |
30506800 | (05) | WI |
B53130 | (02) | WI |