Boone, Janet Goddard

Boone, Janet Goddard is an individual health care provider with primary practice located at 725 Jesse Jewell Pkwy Se , Gainesville GA 30501-3834. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Boone, Janet Goddard can be contacted via phone (770) 297-2200.

Contact Information

Primary practice address
725 Jesse Jewell Pkwy Se Gainesville GA 30501-3834
Fax: (770) 534-8139
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 041051 Georgia

Profile Details

NPI number 1376523373
LBN Legal business name Boone, Janet Goddard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Jul 19th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376523373 NPPES
Georgia MEDICAID 000794505A
Georgia Other 7021310
Georgia Other 10053118
Georgia Other 335994
Georgia Other 7235010
Georgia Other 160054843
Georgia Other 1864391
Georgia Other 52598222

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