Individual
SUSAN GOODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
122 GORDON COMMERCIAL DR # A, LAGRANGE, GA 30240-5740
(706) 845-4035
Mailing address
122 GORDON COMMERCIAL DR # A, LAGRANGE, GA 30240-5740
(706) 845-4035
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN009185
GA
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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