Individual
MICHAEL GOODALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2923
Mailing address
2508 SPRINGWOOD DR, AUGUSTA, GA 30904-3321
(678) 200-2431
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
15203
GA
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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