Individual
BENJAMIN GOODROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1040 PARK DR, GREENSBORO, GA 30642-3466
(706) 534-6640
(706) 400-4414
Mailing address
803 S MAIN ST, GREENSBORO, GA 30642-1211
(706) 453-1201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
40938
SC
207Q00000X
Family Medicine Physician
Primary
85292
GA
Other
Enumeration date
05/11/2017
Last updated
12/28/2021
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