Individual
BRENDA LORENE GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5353 REYNOLDS ST, SELECT SPECIALITY, SAVANNAH, GA 31405
(888) 830-1050
(800) 521-9608
Mailing address
925 S SEMORAN BLVD STE 110A, WINTER PARK, FL 32792-5313
(888) 830-1050
(800) 521-9608
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN130387
GA
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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