Goodson, Phillip D
Goodson, Phillip D is an sole proprietor health care provider with primary practice located at 159 Highway 53 West , Dawsonville GA 30534-0004. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Goodson, Phillip D can be contacted via phone (706) 265-2020.Contact Information
Primary practice address
159 Highway 53 West
Dawsonville GA 30534-0004
Phone: (706) 265-2020
Fax: (706) 265-2987
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | RPH010965 | Georgia |
Profile Details
| NPI number | 1457454720 |
|---|---|
| LBN Legal business name | Goodson, Phillip D |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1457454720 | NPPES |
| Georgia | MEDICAID | 000119677A |
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