Individual
MR. PHILIP RICHARD GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD, LD
Contact information
Practice address
5015 N 34TH ST, BLDG 900, FOREST PARK, GA 30297-5245
(404) 469-4034
Mailing address
6638 BEAR SWAMP RD, MEDINA, OH 44256-9765
(301) 775-8233
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D01786
MD
Other
Enumeration date
01/10/2009
Last updated
01/10/2009
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