Individual
QIUYUE KATERI ELIZABETH GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5671 PEACHTREE DUNWOODY RD STE 900, ATLANTA, GA 30342-5022
(404) 847-9999
Mailing address
5671 PEACHTREE DUNWOODY RD STE 900, ATLANTA, GA 30342-5022
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11515
GA
Other
Enumeration date
01/31/2023
Last updated
04/04/2023
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