MS. Theresa G. Goodman, NP-C
NPI #1609868298 in Loganville, Georgia
Provider Information
- NPI Number
- 1609868298
- Entity Type
- Individual
- Name
- MS. Theresa G. Goodman, NP-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NP-C
- Enumeration Date
- Aug 19, 2005
- Last Updated
- Feb 11, 2008
Practice Location
- Address
- 605 ASHTON MANOR DR
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-5330
- Phone
- (216) 406-2466
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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