Individual provider · Type 1 NPI
Nichelle Gooden
Driver · Stone Mountain, GA
NPI number
1730699208
Active
Practice location
1408 Colony East Cir
Stone Mountain, GA 30083-5407
Fax (404) 996-9335
Mailing address
PO Box 381
Pine Lake, GA 30072-0381
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 058242336 (GA) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Other driver providers in Stone Mountain
About NPI 1730699208
Nichelle Gooden's National Provider Identifier is 1730699208, issued on Oct 10, 2017. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Stone Mountain, GA. The record was last updated on Oct 10, 2017.