Individual
BRENDA GOODGAME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 AUSTIN WAY, 109 AUSTIN WAY, SAVANNAH, GA 31419-6207
(912) 659-3379
Mailing address
109 AUSTIN WAY, 109 AUSTIN WAY, SAVANNAH, GA 31419-6207
(912) 659-3379
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN 685087
CA
Other
Enumeration date
09/05/2016
Last updated
09/05/2016
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