Goodrum, Harold

Goodrum, Harold is an individual health care provider with primary practice located at 575 Dekalb Industrial Way Suite 103, Decatur GA 30030-1756. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Goodrum, Harold can be contacted via phone (404) 296-8511.

Contact Information

Primary practice address
575 Dekalb Industrial Way Suite 103 Decatur GA 30030-1756
Phone: (404) 296-8511
Fax: (404) 296-8514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 002554 Georgia

Profile Details

NPI number 1194273185
LBN Legal business name Goodrum, Harold
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2016
Last updated Sep 19th, 2016 - about 10 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 1194273185 NPPES
Georgia Other 002554 OT LICENSE

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