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Individual

JODI GOLDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5673 PEACHTREE DUNWOODY RD, STE 150, ATLANTA, GA 30342-1731
(404) 297-1780
(404) 252-7255
Mailing address
5673 PEACHTREE DUNWOODY RD, STE 150, ATLANTA, GA 30342-1731
(404) 297-1780
(404) 252-7255

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD003409
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003107659F
GA
05
003107659I
GA
05
003107659J
GA
Enumeration date
03/18/2008
Last updated
02/01/2017
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  • EDI platform