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Organization

GOODLIFE CARDIAC CARE, LLC

Active
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Organization

GOODLIFE CARDIAC CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAQUETA NELSON NP (OWNER/PROVIDER)
(770) 383-1415
Entity
Organization

Contact information

Practice address
2400 HERODIAN WAY SE STE 220, SMYRNA, GA 30080-8500
(770) 383-1415
Mailing address
2400 HERODIAN WAY SE STE 220, SMYRNA, GA 30080-8500
(770) 383-1415

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—

Other

Enumeration date
12/02/2022
Last updated
12/02/2022
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