Individual
DR. GWYNDOLYN B. GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
775 S PARK ST, SUITE 102, CARROLLTON, GA 30117-3825
(678) 485-3155
Mailing address
775 S PARK ST, SUITE 102, CARROLLTON, GA 30117-3825
(678) 485-3155
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
384
PR
111NP0017X
Pediatric Chiropractor
CHIRO07391
GA
111NR0400X
Rehabilitation Chiropractor
Primary
CHIRO07391
GA
Other
Enumeration date
02/16/2007
Last updated
04/17/2013
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