Organization
PIEDMONT FAYETTE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN ELAINE GOODING APRN (APRN/HEART FAILURE CENTER)
(770) 716-6747
Entity
Organization
Contact information
Practice address
1255 HIGHWAY 54 W, HEART FAILURE CENTER, FAYETTEVILLE, GA 30214-4526
(770) 719-6747
(770) 719-6059
Mailing address
1255 HIGHWAY 54 W, HEART FAILURE CENTER, FAYETTEVILLE, GA 30214-4526
(770) 719-6747
(770) 719-6059
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
RN 174056 NP
GA
281P00000X
Chronic Disease Hospital
Primary
RN174056 NP
GA
Other
Enumeration date
02/25/2008
Last updated
02/25/2008
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