Individual
KATELYN WESTBROOK GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
108 PROMINENCE CT STE 200, DAWSONVILLE, GA 30534-6340
(706) 344-6950
(706) 344-6951
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
(770) 219-8440
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN223751
GA
363LF0000X
Family Nurse Practitioner
Primary
RN223751
GA
Other
Enumeration date
09/09/2019
Last updated
10/21/2019
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