Individual
LEONARD GOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
126 SAINT IVES DR, SAVANNAH, GA 31419-8917
(717) 314-5436
Mailing address
126 SAINT IVES DR, SAVANNAH, GA 31419-8917
(717) 314-5436
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN092654
GA
Other
Enumeration date
07/15/2016
Last updated
07/15/2016
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