Nichelle Gooden
NPI 1730699208 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1408 Colony East Cir
Stone Mountain, GA 30083 - Phone
- (404) 996-9335
- Fax
- (404) 996-9335
Registry record
- Primary taxonomy
- Driver
172A00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-10-10
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