Mancebo, Heather Marie Goodwin
Mancebo, Heather Marie Goodwin is an individual health care provider with primary practice located at 2130 W Spring Street, Suite 300 , Monroe GA 30655. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mancebo, Heather Marie Goodwin can be contacted via phone (678) 905-9121.Contact Information
Primary practice address
2130 W Spring Street, Suite 300
Monroe GA 30655
Phone: (678) 905-9121
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 282980 | New York |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | D0074885 | Maryland |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 96784 | Georgia |
Profile Details
| NPI number | 1689802068 |
|---|---|
| LBN Legal business name | Mancebo, Heather Marie Goodwin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2009 |
| Last updated | Aug 18th, 2023 - about 2 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.
Popular Providers
-
Mathew, Thomas
330 Alcovy St , Monroe GA 30655-2140 -
Vickery, Lisa
321 Woodland Rd , Monroe GA 30655-2021 -
Wiles, Sheryl S.
521 Great Oaks Dr , Monroe GA 30655-8211 -
Morris, Caitlin Ann
521 Great Oaks Dr , Monroe GA 30655-8211 -
Burney Atoyebi, Diondra Trenee'
2161 W Spring St Ste A , Monroe GA 30655 -
Redding, Rebecca
704 Breedlove Dr Ste B , Monroe GA 30655-2054 -
Plaster, Michelle Lynn
1016 E Spring St , Monroe GA 30655-2469 -
Delp, William Donovan
1016 E Spring St , Monroe GA 30655-2469