NPI 1003079203

Robert H Goodman, NMT

Practitioner Specialist Atlanta, GA

Practice location

Address: 124 Lafayette Dr NE APT 4, Atlanta, GA 30309-3344
Phone: (404) 932-0323
Fax: (678) 904-5612

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence MT002271 (GA)

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Registry record

NPI: 1003079203
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jul 2008
Record last updated: 8 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.