Dr OTTO C GOYCO MD is a male medical professional, specializing in Internal Medicine. He graduated in 1989.
NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC
3340 PADDOCK PKWY
SUWANEE
GA
300249119
Tel: 6786796210
| Npi | 1013990431 |
| Pac Id | 8325056575 |
| Professional Enrollment Id | I20060329000417 |
| Last Name | GOYCO |
| First Name | OTTO |
| Middle Name | C |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | OTHER |
| Graduation Year | 1989 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC |
| Group Practice Pac Id | 9638343924 |
| Number Of Group Practice Members | 173 |
| Line 1 Street Address | 3340 PADDOCK PKWY |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | SUWANEE |
| State | GA |
| Zip Code | 300249119 |
| Phone Number | 6786796210 |
| Hospital Affiliation Ccn 1 | 110005 |
| Hospital Affiliation Lbn 1 | NORTHSIDE HOSPITAL FORSYTH |
| Hospital Affiliation Ccn 2 | 110161 |
| Hospital Affiliation Lbn 2 | NORTHSIDE HOSPITAL |
| Hospital Affiliation Ccn 3 | 110029 |
| Hospital Affiliation Lbn 3 | NORTHEAST GEORGIA MEDICAL CENTER, INC |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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