Marcus Brian Goodman D.O.

NPI 1407075880 - Dermatology - 207N00000X

NPI Details
NPI 1407075880
Gender Male
Enumeration Date 04/24/2007
Last Updated 05/26/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
2500 HOSPITAL BLVD STE 280
ROSWELL GA, 30076-4918, US
Phone (770) 754-0787
Fax (866) 763-0787
Business Location
2500 HOSPITAL BLVD STE 280
ROSWELL GA, 30076-4918, US
Phone (770) 754-0787
Fax (866) 763-0787
Toxanomy
Taxonomy Code 207N00000X
License State Oregon
License Number DO28617
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According to our database, Dr. Marcus Brian Goodman D.O. NPI is 1407075880, taxonomy code is 207N00000X and license number is DO28617, license state is located at Oregon. Marcus Brian Goodman D.O. physically located at 2500 Hospital Blvd Ste 280, Roswell GA, 30076-4918. NPI Number Marcus Brian Goodman D.O. has the Individual type.

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1407075880 NPI number is provided on an as is basis without warranty of any kind. 1407075880 is maintained by the National Plan & Provider Enumeration System. The contents of Marcus Brian Goodman D.O. are for informational purposes only.