Individual
BEVERLY GOODE DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1046 LENOX CRST NE, ATLANTA, GA 30324-2700
(404) 434-4066
Mailing address
1046 LENOX CRST NE, ATLANTA, GA 30324-2700
(404) 434-4066
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
018012
GA
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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