Individual
MARKITA MONIQUE GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 SUSAN DR, DOUGLAS, GA 31535-6429
(912) 850-3586
Mailing address
35 SUSAN DR, DOUGLAS, GA 31535-6429
(912) 850-3586
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
APRN-NP241130
GA
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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