SearchGeorgia374J00000X

Olivia Gooden

NPI 1225743057 · on the registry since 2023 · sole proprietor

Practice

Address
4838 Tangerine Cir
Oakwood, GA 30566
Phone
(912) 381-1388

Registry record

Primary taxonomy
374J00000X
374J00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-01-16

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