Individual
MARY CATHERINE GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
702 CANTON RD NE, MARIETTA, GA 30060-7271
(770) 428-4486
Mailing address
702 CANTON RD NE, MARIETTA, GA 30060-7271
(770) 428-4486
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
66295
GA
Other
Enumeration date
06/06/2008
Last updated
07/16/2015
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