Individual
MICAH GOODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 JEFFERSON HWY, JEFFERSON, LA 70121-2426
(504) 842-3260
Mailing address
2096 CARR AVE, MEMPHIS, TN 38104-5341
(901) 238-1500
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
LA
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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