Goodridge, Sophia D
Goodridge, Sophia D is an sole proprietor health care provider with primary practice located at 2500 Hospital Blvd Ste 290 , Roswell GA 30076. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Goodridge, Sophia D can be contacted via phone (470) 956-4230.Contact Information
Primary practice address
2500 Hospital Blvd Ste 290
Roswell GA 30076
Phone: (470) 956-4230
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 52077 | Kentucky |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 82831 | Georgia |
Profile Details
| NPI number | 1255690905 |
|---|---|
| LBN Legal business name | Goodridge, Sophia D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 15th, 2012 |
| Last updated | Jun 10th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255690905 | NPPES |
| Kentucky | MEDICAID | 7100580160 |
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