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Individual

MRS. MARY KEYS GOODING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
6420 POLLARDS POND RD, APPLING, GA 30802-3726
(706) 541-1318
(706) 541-0753
Mailing address
7251 MOONTOWN RD, APPLING, GA 30802-2405
(706) 541-0106

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN042507
GA

Other

Enumeration date
10/16/2006
Last updated
07/08/2007
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