Individual
DR. DAVID A. GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1336 HIGHWAY 54 W, BUILDING 500, FAYETTEVILLE, GA 30214-4549
(770) 461-1238
(770) 460-6610
Mailing address
1336 HIGHWAY 54 W, BUILDING 500, FAYETTEVILLE, GA 30214-4549
(770) 461-1238
(770) 460-6610
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
040080
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000662208C
—
GA
05
—
000662208E
—
GA
Enumeration date
09/29/2005
Last updated
03/27/2008
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