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Individual

JENNY LYNN GOEDDEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
205 NEW PETERSBURG DR STE D, AUGUSTA, GA 30907-1920
(706) 251-7800
Mailing address
205 NEW PETERSBURG DR, AUGUSTA, GA 30907-1919
(706) 251-7800

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT1108882
GA

Other

Enumeration date
02/27/2026
Last updated
02/27/2026
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