Individual
DR. JACQUELINE GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
677 CHURCH STREET, MARIETTA, GA 30060
(470) 793-6148
Mailing address
677 CHURCH STREET, MARIETTA, GA 30060
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
112573
GA
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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