Individual provider · Type 1 NPI

Mary Goodwin

Licensed Practical Nurse · Augusta, GA

NPI number 1750933800 Active

Practice location

1 Freedom Way
Augusta, GA 30904-6258

Mailing address

1213 Derby Ln
Grovetown, GA 30813-3835

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X319563 (TX)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1750933800

Mary Goodwin's National Provider Identifier is 1750933800, issued on Jul 9, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Augusta, GA. The record was last updated on Jul 9, 2019.