Individual
DR. KINA LE GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1405 CLIFTON RD NE, ATLANTA, GA 30322-0005
(615) 936-1000
Mailing address
1393 BRANCH DR, TUCKER, GA 30084-1274
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
78066
GA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
78066
GA
Other
Enumeration date
04/08/2014
Last updated
07/17/2020
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