Individual
MR. HARRISON L GOUDISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
5290 ROSWELL RD, SUITE W, ATLANTA, GA 30342-1978
(404) 477-5555
(404) 477-5556
Mailing address
5290 ROSWELL RD, SUITE W, ATLANTA, GA 30342-1978
(404) 477-5555
(404) 477-5556
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014231
GA
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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