Goodson-Redmond, Rosetta

Goodson-Redmond, Rosetta is an individual health care provider with primary practice located at 747 South 8Th Street Suite C, Griffin GA 30224-4880. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Goodson-Redmond, Rosetta can be contacted via phone (678) 288-9555.

Contact Information

Primary practice address
747 South 8Th Street Suite C Griffin GA 30224-4880
Phone: (678) 288-9555
Fax: (678) 288-9556
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F1015699 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN171233 Georgia

Profile Details

NPI number 1508222993
LBN Legal business name Goodson-Redmond, Rosetta
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2016
Last updated Aug 25th, 2020 - about 6 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 1508222993 NPPES
Georgia Other 202I503298 MEDICARE PTAN
Georgia MEDICAID 003173975D MEDICARE PTAN
Georgia MEDICAID 003173975C MEDICARE PTAN

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