Individual
WILLIE JAMES GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2247
(404) 686-3845
(404) 686-4332
Mailing address
531 ASBURY CIR, SUITE N340, ATLANTA, GA 30322-1006
(404) 778-5975
(404) 778-2630
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN154592
GA
Other
Enumeration date
11/12/2008
Last updated
11/12/2008
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