Individual
STEPHANIE DIANE GOEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1214 GALLATIN AVE, NASHVILLE, TN 37206-3242
(615) 988-1620
Mailing address
1069 LILLIAN LN, GALLATIN, TN 37066-4561
(813) 389-2520
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3391
TN
363A00000X
Physician Assistant
PA2115
KY
363AM0700X
Medical Physician Assistant
005991
GA
Other
Enumeration date
01/06/2011
Last updated
01/17/2023
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