Individual
MARY LOUISE GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3917 AROLLA LN, DOUGLASVILLE, GA 30135-7262
(770) 301-5727
Mailing address
3917 AROLLA LN, DOUGLASVILLE, GA 30135-7262
(770) 301-5727
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN198831
GA
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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