Individual
DR. MATTHEW DALE GOODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
117 JEB STUART DR, NEWNAN, GA 30265-2118
(407) 760-5501
Mailing address
117 JEB STUART DR, NEWNAN, GA 30265-2118
(407) 760-5501
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR009471
GA
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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