Individual
MR. ROGER M GOODHEART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
217 BANKS STATION, FAYETTEVILLE, GA 30215
(770) 460-9272
(770) 460-9330
Mailing address
217 BANKS STATION, FAYETTEVILLE, GA 30215
(770) 460-9272
(770) 460-9330
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3031
GA
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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