Individual
MICHELE GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2685 ANDERSONVILLE HWY STE 1, CLINTON, TN 37716-6725
(865) 494-5274
Mailing address
3104 HIGHWAY 61 W, ANDERSONVILLE, TN 37705-2101
(865) 806-1667
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4369
TN
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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