Individual
OLIVIA GRACE GOODNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8600 OLD GEORGETOWN RD, BETHESDA, MD 20814-1497
(301) 896-6700
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C0008558
MD
Other
Enumeration date
07/26/2022
Last updated
03/13/2023
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