Individual
RODDRICIOUS BOAHSHEA GOLDSMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(404) 686-4411
(404) 686-1742
Mailing address
8274 VALLEY BLF, RIVERDALE, GA 30274-4375
(757) 448-7064
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
334484
MS
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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