Leslie-Gooden, Carla

Leslie-Gooden, Carla is an individual health care provider with primary practice located at 170 Bastille Way Ste A , Fayetteville GA 30214-7652. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Driving and Community Mobility, which is considered as her primary health care specialty. Leslie-Gooden, Carla can be contacted via phone (678) 870-4467.

Contact Information

Primary practice address
170 Bastille Way Ste A Fayetteville GA 30214-7652
Phone: (678) 870-4467
Fax: (770) 626-3421
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Driving and Community Mobility 225XR0403X

Profile Details

NPI number 1578924429
LBN Legal business name Leslie-Gooden, Carla
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2016
Last updated Sep 9th, 2020 - about 4 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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