Individual
JANET GODDARD BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3834
(770) 297-2200
(770) 534-8139
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 535-7445
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
041051
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000794505A
—
GA
01
—
10053118
AMERIGROUP
GA
01
—
160054843
RR MEDICARE-GRP # CC4177
GA
01
—
1864391
UNITED HEALTHCARE
GA
01
—
335994
WELLCARE
GA
01
—
52598222
BCBS
GA
01
—
7021310
CIGNA
GA
01
—
7235010
AETNA
GA
Enumeration date
01/18/2006
Last updated
07/19/2011
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