Provider Demographics
NPI:1770307571
Name:GOAR PEDIATRICS, PC
Entity type:Organization
Organization Name:GOAR PEDIATRICS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:BROOKE
Authorized Official - Last Name:GOAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-782-1912
Mailing Address - Street 1:42233 HIGHWAY 195
Mailing Address - Street 2:
Mailing Address - City:HALEYVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35565-7188
Mailing Address - Country:US
Mailing Address - Phone:205-782-1912
Mailing Address - Fax:
Practice Address - Street 1:42233 HIGHWAY 195
Practice Address - Street 2:
Practice Address - City:HALEYVILLE
Practice Address - State:AL
Practice Address - Zip Code:35565-7188
Practice Address - Country:US
Practice Address - Phone:205-782-1912
Practice Address - Fax:205-782-1914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-09
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty