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1104912054
JENNIFER GOODSON
FAYETTEVILLE, GA
NPI
1104912054
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN124143)
Enumeration Date
2006-10-05
Last Update Date
2020-10-23
Business Address
JENNIFER GOODSON NP
1336 HIGHWAY 54 W BLDG 200
FAYETTEVILLE, GA 30214-4574
Phone number: 770-460-9777
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Mailing Address
JENNIFER GOODSON NP
1930 BRANNAN RD
MCDONOUGH, GA 30253-4310
Phone number:
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