Individual
DR. TIMOTHY J GOODING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
196 RIDGECREST CIR, CLAYTON, GA 30525-4111
(706) 982-0455
Mailing address
4210 RIDGEFAIR DR, CUMMING, GA 30040-1537
(678) 622-1200
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
007786
GA
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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