Individual
MR. ROBERT H GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NMT
Contact information
Practice address
124 LAFAYETTE DR NE APT 4, ATLANTA, GA 30309-3344
(404) 932-0323
(678) 904-5612
Mailing address
124 LAFAYETTE DR NE APT 4, ATLANTA, GA 30309-3344
(404) 932-0323
(678) 904-5612
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT002271
GA
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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