Individual
LYNSAY MARIE GOOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTC
Contact information
Practice address
1839 BUFORD HWY NORTHEAST, STE 100, BUFORD, GA 30518-3672
(404) 847-4382
(404) 847-4383
Mailing address
125 MAPLE LEAF CT, HOSCHTON, GA 30548-6348
Taxonomy
Speciality
Code
Description
License number
State
246ZX2200X
Orthopedic Assistant
Primary
20-0710
—
374700000X
Technician
—
—
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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