Goodman, Theresa G.
Goodman, Theresa G. is an sole proprietor health care provider with primary practice located at 605 Ashton Manor Dr , Loganville GA 30052-5330. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Goodman, Theresa G. can be contacted via phone (216) 406-2466.Contact Information
Primary practice address
605 Ashton Manor Dr
Loganville GA 30052-5330
Phone: (216) 406-2466
Fax: (770) 554-1621
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP-06471 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN152359 NP | Georgia |
Profile Details
| NPI number | 1609868298 |
|---|---|
| LBN Legal business name | Goodman, Theresa G. |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Feb 11th, 2008 - about 18 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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