Individual
REGINA ADDERHOLD GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1007 E 16TH AVE STE A, CORDELE, GA 31015-4553
(229) 273-1716
(229) 273-1720
Mailing address
1007 E 16TH AVE STE A, CORDELE, GA 31015-4553
(229) 273-1716
(229) 273-1720
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN258895
GA
Other
Enumeration date
05/02/2022
Last updated
07/14/2023
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