NPI 1023931516

Shawn Wells Goldman, OMRMWMA

Practitioner Religious Nonmedical Practitioner Forest Park, GA

Practice location

Address: 4140 Jonesboro Rd STE D3, Forest Park, GA 30297-1071
Phone: (678) 783-4377
Mailing address: PO Box 162299, Atlanta, GA 30321-2299

Registered specialties (3)

Religious Nonmedical Practitioner Primary

Nursing Service Related Providers Taxonomy 374K00000X

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Health & Wellness Coach

Other Service Providers Taxonomy 171400000X

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Case Manager/Care Coordinator

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1023931516
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Aug 2026
Record last updated: 1 Aug 2026

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.