Individual
JEREMY ZACH GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16 LIVE OAK CT, MOULTRIE, GA 31768-6783
(229) 891-9148
Mailing address
PO BOX 2876, MOULTRIE, GA 31776-2876
(229) 891-9148
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
101115
GA
Other
Enumeration date
06/14/2019
Last updated
09/08/2025
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