Goodwin, Dara Nicole

Goodwin, Dara Nicole is an individual health care provider with primary practice located at 543 Jonesboro Rd , Mcdonough GA 30253-3718. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Goodwin, Dara Nicole can be contacted via phone (678) 583-9071.

Contact Information

Primary practice address
543 Jonesboro Rd Mcdonough GA 30253-3718
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN180693 Georgia

Profile Details

NPI number 1164740510
LBN Legal business name Goodwin, Dara Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2010
Last updated May 10th, 2010 - about 16 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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