Individual provider · Type 1 NPI
Theresa G. Goodman, NP-C
Family Nurse Practitioner · Loganville, GA
NPI number
1609868298
Active
Practice location
605 Ashton Manor Dr
Loganville, GA 30052-5330
Fax (770) 554-1621
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | NP-06471 (OH) |
| Family Nurse Practitioner | 363LF0000X | RN152359 NP (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1609868298
Theresa G. Goodman, NP-C's National Provider Identifier is 1609868298, issued on Aug 19, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Loganville, GA. The record was last updated on Feb 11, 2008.