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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. THERESA G. GOODMAN, NP-C

Active Sole Proprietor

MS. THERESA G. GOODMAN, NP-C is a Family Nurse Practitioner healthcare provider located in LOGANVILLE, Georgia. NPI 1609868298 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · LOGANVILLE, GA

Registration Details

NPI Number
1609868298
Provider Type
Individual
Gender
Female
NPI Issued
Aug 19, 2005 (20.956991554909 yrs)
Last Updated
Feb 11, 2008
Licenses
NP-06471 (OH)
RN152359 NP (GA)
Sole Proprietor
Yes

Practice Information

Address
605 ASHTON MANOR DR
LOGANVILLE, GA, 300525330
Browse GA providers · Browse ZIP 30052
Phone
2164062466
Fax
7705541621
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in LOGANVILLE, GA

Name Credential NPI
MS. TERESA GALE OLDHAM SNIDER NP 1508816505
BRANDI HARTMAN WILLARD NP-C 1619083797
MRS. KIMBERLY DENISE PEGUES FNP-C 1073663167
MRS. SHELBA JEAN THIEL FNP 1265583710
ELIZABETH WEST MSN, NP-C 1790836609
MARIA A HILDEBRAND NP-C 1366566762
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.