Individual
AMY KAY GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 MARBLE MILL RD NW, MARIETTA, GA 30060-1047
(770) 422-1013
(770) 514-5996
Mailing address
111 MARBLE MILL RD NW, MARIETTA, GA 30060-1047
(770) 422-1013
(770) 514-5996
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006889
GA
Other
Enumeration date
08/12/2013
Last updated
09/09/2021
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