Goodman, David A.

Goodman, David A. is an individual health care provider with primary practice located at 1336 Highway 54 W Building 500, Fayetteville GA 30214-4549. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Goodman, David A. can be contacted via phone (770) 461-1238.

Contact Information

Primary practice address
1336 Highway 54 W Building 500 Fayetteville GA 30214-4549
Phone: (770) 461-1238
Fax: (770) 460-6610
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 040080 Georgia

Profile Details

NPI number 1467449165
LBN Legal business name Goodman, David A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Mar 27th, 2008 - about 16 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467449165 NPPES
Georgia MEDICAID 000662208C
Georgia MEDICAID 000662208E

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