Individual provider · Type 1 NPI
Roger M. Goodheart, DC
Chiropractor · Fayetteville, GA
NPI number
1306909684
Active
Practice location
217 Banks Station
Fayetteville, GA 30215
Fax (770) 460-9330
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 3031 (GA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1306909684
Roger M. Goodheart, DC's National Provider Identifier is 1306909684, issued on Dec 18, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Fayetteville, GA. The record was last updated on Jul 8, 2007.