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Marissa Goodman
NPI 1013389493 · on the registry since 2015 · sole proprietor
Practice
- Address
- 213 Manous Way
Canton, GA 30115 - Phone
- (404) 668-3243
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-10-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia