Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LEDONTRAE GOODEN, PA-C
Active Sole ProprietorMR. LEDONTRAE GOODEN, PA-C is a Medical Physician Assistant healthcare provider located in FORT MOORE, Georgia. NPI 1528607272 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · FORT MOORE, GA
Registration Details
- NPI Number
- 1528607272
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 28, 2019 (6.6287725056455 yrs)
- Last Updated
- Jan 22, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
6600 VAN AALST BLVDFORT MOORE, GA, 319052102Browse GA providers · Browse ZIP 31905
- Phone
- 9163851006
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Driver
Other Medical Physician Assistant Providers in FORT MOORE, GA
| Name | Credential | NPI |
|---|---|---|
| MR. MICHAEL DAVID POINTER | PA-C | 1225078728 |
| JENNIFER WAMPLER | PA-C | 1609971563 |
| MS. FRANCES DENISE BURRESS | PA-C | 1710078464 |
| JOHN FRANKLIN RAINS | PA-C | 1124340765 |
| KELSEY H. TATONE | P.A.-C | 1417290388 |
| CHRISTOPHER SCOTT SCHLOFF | PA-C | 1841634474 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.