Mims-Goodman, Billy Gene
Mims-Goodman, Billy Gene is an sole proprietor health care provider with primary practice located at 5671 Peachtree Dunwoody Rd Ne Suite 680, Atlanta GA 30342-5000. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Mims-Goodman, Billy Gene can be contacted via phone (404) 705-6985.Contact Information
Primary practice address
5671 Peachtree Dunwoody Rd Ne Suite 680
Atlanta GA 30342-5000
Phone: (404) 705-6985
Fax: (404) 851-9950
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | RN134535 | Georgia |
Profile Details
| NPI number | 1083673883 |
|---|---|
| LBN Legal business name | Mims-Goodman, Billy Gene |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Nov 18th, 2010 - about 14 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 | 1083673883 | NPPES |
| Georgia | MEDICAID | 000820432 |
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