Individual
KAREN GOODING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4526
(770) 719-6059
Mailing address
PO BOX 102847, ATLANTA, GA 30368-2847
(770) 719-6747
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN174056
GA
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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