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Theresa Goodman, NP-C
NPI 1609868298 · on the registry since 2005 · sole proprietor
Practice
- Address
- 605 Ashton Manor Dr
Loganville, GA 30052 - Phone
- (216) 406-2466
- Fax
- (770) 554-1621
Registry record
- Primary taxonomy
- Family Nurse Practitioner
363LF0000X
- Also registered as
- Family Nurse Practitioner
- Licence states on file
- OH, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-02-11
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