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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