Individual
MICHAEL JOSEPH GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5024 OAK PARK CIR NE, ATLANTA, GA 30324-5292
(404) 831-3453
Mailing address
5024 OAK PARK CIR NE, ATLANTA, GA 30324-5292
(404) 831-3453
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
01036134
IN
2085R0001X
Radiation Oncology Physician
43377
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01036134B
CSR
IN
Enumeration date
01/22/2007
Last updated
04/26/2023
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