Individual
DR. MICHAEL GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
1518 CLIFTON RD NE, ATLANTA, GA 30322-4201
(404) 727-2734
(404) 727-8737
Mailing address
1782 VICKERS CIR, DECATUR, GA 30030-1000
(404) 909-5155
(404) 727-8737
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
056716
GA
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
056716
GA
Other
Enumeration date
05/23/2007
Last updated
10/21/2021
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