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Organization
HOUSE CALLS OF NW GEORGIA, LLC
Active
Organization
HOUSE CALLS OF NW GEORGIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLE M. GOOCH NURSE PRACTITIONER (NURSE PRACTITIONER)
(706) 266-4387
Entity
Organization
Contact information
Practice address
30 WARD MOUNTAIN RD, KINGSTON, GA 30145-1129
(076) 266-4387
(706) 291-7383
Mailing address
30 WARD MOUNTAIN ROAD, KINGSTON, GA 30145
(706) 266-4387
(706) 291-7383
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN069392
GA
Other
Enumeration date
06/20/2008
Last updated
04/27/2009
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