Dara Nicole Goodwin

NPI 1164740510 - Nurse Practitioner - 363LP0200X

NPI Details
NPI 1164740510
Gender Female
Enumeration Date 05/10/2010
Last Updated 05/10/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
543 JONESBORO RD
MCDONOUGH GA, 30253-3718, US
Phone (678) 583-9071
Fax
Business Location
543 JONESBORO RD
MCDONOUGH GA, 30253-3718, US
Phone (678) 583-9071
Fax
Toxanomy
Taxonomy Code 363LP0200X
License State Georgia
License Number RN180693
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According to our database, Dara Nicole Goodwin NPI is 1164740510, taxonomy code is 363LP0200X and license number is RN180693, license state is located at Georgia. Dara Nicole Goodwin physically located at 543 Jonesboro Rd, Mcdonough GA, 30253-3718. NPI Number Dara Nicole Goodwin has the Individual type.

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1164740510 NPI number is provided on an as is basis without warranty of any kind. 1164740510 is maintained by the National Plan & Provider Enumeration System. The contents of Dara Nicole Goodwin are for informational purposes only.