Goff, Macie Lane

Goff, Macie Lane is an individual health care provider with primary practice located at 200 Gentilly Blvd , Cartersville GA 30120-8504. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Goff, Macie Lane can be contacted via phone (470) 490-7200.

Contact Information

Primary practice address
200 Gentilly Blvd Cartersville GA 30120-8504
Phone: (470) 490-7200
Fax: (770) 276-7251
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN124928 Georgia

Profile Details

NPI number 1265621999
LBN Legal business name Goff, Macie Lane
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2007
Last updated Apr 24th, 2020 - about 5 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 1265621999 NPPES
Georgia MEDICAID 000915736A

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