Goodge, Brent
Goodge, Brent is an individual health care provider with primary practice located at 1200 Memorial Dr , Dalton GA 30720-2529. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Goodge, Brent can be contacted via phone (706) 259-4435.Contact Information
Primary practice address
1200 Memorial Dr
Dalton GA 30720-2529
Phone: (706) 259-4435
Fax: (706) 226-2283
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 56067 | Georgia |
Profile Details
| NPI number | 1285639674 |
|---|---|
| LBN Legal business name | Goodge, Brent |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2005 |
| Last updated | Aug 3rd, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285639674 | NPPES |
| Georgia | Other | P00278407 | RAILROAD MEDICARE |
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