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Individual

ROCKY J GOODALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BOCP/L

Contact information

Practice address
114 POWELL DR, HENDERSONVILLE, TN 37075-3527
(615) 340-0068
(615) 340-0028
Mailing address
6017 LICKTON PIKE, GOODLETTSVILLE, TN 37072-9146
(615) 772-1880
(615) 340-0028

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
C36377
TN

Other

Enumeration date
04/14/2008
Last updated
04/14/2008
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