Search › Georgia › 363AM0700X
Ledontrae Gooden, PA-C
NPI 1528607272 · on the registry since 2019 · sole proprietor
Practice
- Address
- 6600 Van Aalst Blvd
Fort Moore, GA 31905 - Phone
- (916) 385-1006
- Clinicians at this address
- 153
Additional practice sites
- 2400 Nw 24th St, Lincoln, NE
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 172A00000X
- Sex
- Male
- Record last updated
- 2024-01-22
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