Individual
MS. JACQUELINE RHEA GOODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
1803 N JACKSON ST, TULLAHOMA, TN 37388-2201
(931) 461-1300
(931) 461-1304
Mailing address
1803 N JACKSON ST, TULLAHOMA, TN 37388-2201
(931) 461-1300
(931) 461-1304
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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